Organization
NORTHWESTERN MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNIER VASALLO (PRESIDENT)
(305) 828-5409
Entity
Organization
Contact information
Practice address
1840 W 49TH ST, 703, HIALEAH, FL 33012-2942
(305) 828-5409
(305) 828-5429
Mailing address
1840 W 49TH ST, 703, HIALEAH, FL 33012-2942
(305) 828-5409
(305) 828-5429
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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