Organization
DAGO ME SUPPLIER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAGOBERTO GOMEZ AGUILA (AUTHORIZED OFFICIAL)
(305) 705-4229
Entity
Organization
Contact information
Practice address
111 NW 183RD ST STE 318, MIAMI GARDENS, FL 33169-4599
(305) 705-4229
Mailing address
111 NW 183RD ST STE 318, MIAMI GARDENS, FL 33169-4599
(305) 705-4229
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L21000437501
LICENSE
FL
Enumeration date
01/13/2022
Last updated
01/13/2022
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