Organization
QUEENS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEE DOR (OWNER)
(954) 289-2169
Entity
Organization
Contact information
Practice address
16772 NE 5TH AVE, N MIAMI BEACH, FL 33162-3928
(954) 289-2169
Mailing address
16772 NE 5TH AVE, N MIAMI BEACH, FL 33162-3928
(954) 289-2169
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/19/2016
Last updated
02/18/2019
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