Organization
FIRST QUALITY MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA ROSA WEDDLE (PRESIDENT)
(305) 262-7005
Entity
Organization
Contact information
Practice address
7262 SW 48TH ST, MIAMI, FL 33155-5525
(305) 262-7005
Mailing address
7262 SW 48TH ST, MIAMI, FL 33155-5525
(305) 262-7005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312136
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1312136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009493700
—
FL
05
—
675522400
—
FL
05
—
675522401
—
FL
05
—
684437500
—
FL
Enumeration date
10/21/2010
Last updated
01/16/2015
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