Organization
MEDULTRA SUPPLIES, LLC
Active
Organization
MEDULTRA SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALOMON MIZRAHI (DIRECTOR)
(561) 342-1161
Entity
Organization
Contact information
Practice address
1232 FALLS BLVD, WESTON, FL 33327-1723
(561) 342-1161
Mailing address
1232 FALLS BLVD, WESTON, FL 33327-1723
(561) 342-1161
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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