Organization
SHANE PHARMACEUTICALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LUIS HUERTAS (PRESIDENT)
(954) 929-6423
Entity
Organization
Contact information
Practice address
14860 N MIAMI AVE, NORTH MIAMI, FL 33168-4929
(954) 929-6423
(954) 929-0533
Mailing address
14860 NORTH MIAMI AVE, NORTH MIAMI, FL 33168
(954) 929-6423
(954) 929-0533
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
08/14/2008
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