Organization
MED SUPPLY AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAXEL DIAZ (OWNER)
(786) 784-4474
Entity
Organization
Contact information
Practice address
123 NW 13TH ST STE 21413, BOCA RATON, FL 33432-1619
(609) 922-3775
Mailing address
123 NW 13TH ST STE 21413, BOCA RATON, FL 33432-1619
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
05/06/2024
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