Organization
MIRACLE MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSVALDO RENE LASO (OWNER/GM)
(786) 291-2114
Entity
Organization
Contact information
Practice address
8075 SW 73RD AVE, 8, MIAMI, FL 33143-7537
(786) 291-2114
(786) 291-2114
Mailing address
8075 SW 73RD AVE, 8, MIAMI, FL 33143-7537
(786) 291-2114
(786) 291-2114
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312481
FL
Other
Enumeration date
09/14/2006
Last updated
08/02/2009
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