Organization
EROS SUPPLIES & SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO DE JESUS MONDELO (PRESIDENT)
(305) 234-0901
Entity
Organization
Contact information
Practice address
14171 SW 142ND AVE, MIAMI, FL 33186-6795
(305) 234-0901
Mailing address
14171 SW 142ND AVE, MIAMI, FL 33186-6795
(305) 234-0901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING MEDICARE#
PENDING MEDICARE #
—
Enumeration date
01/15/2009
Last updated
01/15/2009
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