Organization
MEDI-Q INC
Active
Other names
Florida Pharmacy Discount
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE JULIAN QUINTANA (OWNER PRESIDENT)
(305) 360-2291
Entity
Organization
Contact information
Practice address
1980 EAST 4TH AVE, HIALEAH, FL 33010
(305) 887-9911
(305) 883-6071
Mailing address
1980 E 4TH AVE, HIALEAH, FL 33010
(305) 887-9911
(305) 883-6071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH17051
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
PH17051
FL
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
02/04/2009
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