Organization
ONE STOP MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLA A PRUZHININ (PRESIDENT)
(305) 947-8960
Entity
Organization
Contact information
Practice address
3773 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104
(305) 947-8960
(305) 947-8322
Mailing address
3773 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104
(305) 947-8960
(305) 947-8322
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1071
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
32:02499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022366200
—
FL
Enumeration date
07/22/2006
Last updated
02/24/2010
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