Organization
CMA STATEWIDE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS V MONTEAGUDO (PRESIDENT)
(305) 477-0222
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE, SUITE 118, DORAL, FL 33122-1073
(305) 477-0222
Mailing address
2500 NW 79TH AVE, SUITE 118, DORAL, FL 33122-1073
(305) 477-0222
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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