Organization
AVATAR MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO TOLEDO (PRESIDENT)
(305) 884-1915
Entity
Organization
Contact information
Practice address
211 E 4TH AVE, HIALEAH, FL 33010-4907
(305) 884-1915
(305) 884-1913
Mailing address
211 E 4TH AVE, HIALEAH, FL 33010-4907
(305) 884-1915
(305) 884-1913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313375
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
32 6579
FL
Other
Enumeration date
04/17/2007
Last updated
10/29/2007
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