Organization
SUPERIOR CARE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA XIOMARA VEGA (PRESIDENT)
(305) 885-0740
Entity
Organization
Contact information
Practice address
8264 NW SOUTH RIVER DR, MEDLEY, FL 33166-7451
(305) 885-0740
(305) 885-0745
Mailing address
8264 NW SOUTH RIVER DR, MEDLEY, FL 33166-7451
(305) 885-0740
(305) 885-0745
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
158
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
158
FL
335E00000X
Prosthetic/Orthotic Supplier
158
FL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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