Organization
PONY MEDICAL SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MANZANO (PRESIDENT)
(305) 228-1111
Entity
Organization
Contact information
Practice address
8390 W FLAGLER ST, 202, MIAMI, FL 33144-2039
(305) 228-1111
(305) 480-1094
Mailing address
8390 W FLAGLER ST, 202, MIAMI, FL 33144-2039
(305) 228-1111
(305) 480-1094
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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