Organization
DORAL 25 MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOEL LIMA DORTA (PRESIDENT)
(305) 462-8847
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 239, DORAL, FL 33122-1086
(305) 462-8847
Mailing address
2500 NW 79TH AVE STE 239, DORAL, FL 33122-1086
(305) 462-8847
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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