Organization
A1 SOUTH FLORIDA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN VALDEMIRA LOPEZ (PRESIDENT)
(305) 456-3738
Entity
Organization
Contact information
Practice address
3750 W 16TH AVE STE 242AU, HIALEAH, FL 33012-4664
(305) 456-3738
Mailing address
3750 W 16TH AVE STE 242AU, HIALEAH, FL 33012-4664
(305) 456-3738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
05/03/2023
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