Organization
MISTY MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACIEL SERRA LUGO (AUTHORIZED OFFICIAL)
(561) 490-8920
Entity
Organization
Contact information
Practice address
649 US HIGHWAY 1 STE 8, NORTH PALM BEACH, FL 33408-4616
(561) 678-2065
Mailing address
649 US HIGHWAY 1 STE 8, NORTH PALM BEACH, FL 33408-4616
(561) 678-2065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
08/30/2022
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