Organization
I & M OF MIAMI SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR I GUTIERREZ (PRESIDENT)
(305) 718-3717
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 594, DORAL, FL 33166-6556
(305) 718-3717
(305) 718-3878
Mailing address
3900 NW 79 TH AVE, SUITE 594, MIAMI, FL 33166
(305) 718-3717
(305) 718-3878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
02/21/2008
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