Organization
2ND PHOENIX INC
Active
Other names
SB Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO BECERRA SR. (CEO)
(305) 600-4421
Entity
Organization
Contact information
Practice address
7420 W 18TH LN, HIALEAH, FL 33014-3717
(305) 600-4421
(786) 475-1414
Mailing address
7420 W 18TH LN, HIALEAH, FL 33014-3717
(305) 600-4421
(786) 475-1414
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7178621
FL
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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