Organization
K.G. MEDICAL SUPPLIES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO R RODRIGUEZ (PRESIDENT)
(305) 468-3737
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE, SUITE 135, DORAL, FL 33122-1071
(305) 468-3737
Mailing address
2500 NW 79TH AVE, SUITE 135, DORAL, FL 33122-1071
(305) 468-3737
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312922
FL
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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