Organization
AFFILIATED HEALTHCARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN MENDEZ (DIRECTOR)
(305) 826-0244
Entity
Organization
Contact information
Practice address
14101 COMMERCE WAY, MIAMI, FL 33016-1513
(305) 826-0244
Mailing address
14101 COMMERCE WAY, MIAMI, FL 33016-1513
(305) 826-0244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
P96000069002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P96000069002
CORPORATION NUMBER
FL
Enumeration date
06/13/2006
Last updated
06/11/2008
Update your record
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