Organization
DELVALLE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE HERNANDEZ (PRESIDENT)
(305) 477-8688
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 580, DORAL, FL 33166-6556
(305) 477-8688
Mailing address
3900 NW 79TH AVE, SUITE 580, DORAL, FL 33166-6556
(305) 477-8688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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