Organization
MINIMED DISTRIBUTION CORP.
Active
Parent organization
MINIMED DISTRIBUTION CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINIMED DISTRIBUTION CORP.
Authorized official
ANGELA WARD (PRINCIPAL OPERATIONS SPECIALIST)
(804) 550-2017
Entity
Organization
Contact information
Practice address
14420 NW 60TH AVE BLDG 7B, MIAMI LAKES, FL 33014-2807
(800) 646-4633
(818) 739-4414
Mailing address
18000 DEVONSHIRE ST, ATTN: MANAGED MARKETS, NORTHRIDGE, CA 91325-1219
(800) 646-4633
(818) 739-4843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952036800
—
FL
Enumeration date
08/08/2008
Last updated
03/27/2023
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