Organization
REV SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO VILARET (PRESIDENT)
(305) 644-8303
Entity
Organization
Contact information
Practice address
5836 SW 162ND PATH, MIAMI, FL 33193-5665
(305) 644-8303
Mailing address
5836 SW 162ND PATH, MIAMI, FL 33193-5665
(305) 644-8303
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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