Organization
BRANDON GT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMALIO JOAGUIN HERRERA N/A (PRESIDENT)
(305) 805-3076
Entity
Organization
Contact information
Practice address
5415 NW 74TH AVE, MIAMI, FL 33166-4225
(305) 805-3076
(305) 805-3077
Mailing address
5415 NW 74TH AVE, MIAMI, FL 33166-4225
(305) 805-3076
(305) 805-3077
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312689
FL
Other
Enumeration date
08/05/2006
Last updated
07/21/2022
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