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Organization

DOCTORS MEDICAL RENTALS, CORP.

Active
Other names
DMR
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANGEL NELLO PARDO (PRESIDENT)
(305) 666-9911
Entity
Organization

Contact information

Practice address
10418 NW 31ST TERRACE, DORAL, FL 33172-1200
(305) 666-9911
(305) 666-1601
Mailing address
10418 NW 31ST TERRACE, DORAL, FL 33172-1200
(305) 666-9911
(305) 666-1601

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
HME508
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028697400
FL
05
672169979 WAIVER
FL
01
672169996
WAIVER, MEDICAID
FL
05
672169998 WAIVER
FL
01
R4276
BC&BS PROVIDER NO
FL
Enumeration date
08/21/2006
Last updated
11/14/2011
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