Organization
FMA FIRST MEDICAL ASSURANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL M DATESH (PRESIDENT)
(305) 262-7340
Entity
Organization
Contact information
Practice address
4847 SW 75TH AVE, MIAMI, FL 33155-4438
(305) 262-7340
Mailing address
4847 SW 75TH AVE, MIAMI, FL 33155-4438
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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