Organization
CORPUS CHRISTI MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA NIEVES (PRESIDENT)
(305) 649-8271
Entity
Organization
Contact information
Practice address
215 SW 17TH AVE, SUITE 310, MIAMI, FL 33135-3689
(305) 649-8271
(305) 649-6988
Mailing address
215 SW 17TH AVE, SUITE 310, MIAMI, FL 33135-3689
(305) 649-8271
(305) 649-6988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312083
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
3203663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1312083
AHCA
FL
01
—
3203663
OXYGEN
FL
Enumeration date
06/25/2006
Last updated
02/15/2008
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