Organization
PREMIUM MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO DE LA CRUZ (PRESIDENT)
(305) 792-2540
Entity
Organization
Contact information
Practice address
955 SW 122ND AVE, MIAMI, FL 33184-2406
(305) 227-8727
Mailing address
955 SW 122ND AVE, MIAMI, FL 33184-2406
(305) 227-8727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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