Organization
SOTHSIDE MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGNACIO FIGUEROA (OWNER)
(305) 863-3077
Entity
Organization
Contact information
Practice address
8199 NW 74TH AVE, 8199, MEDLEY, FL 33166-7401
(305) 863-3077
(305) 863-3079
Mailing address
8199 NW 74TH AVE, 8199, MEDLEY, FL 33166-7401
(305) 863-3077
(305) 863-3079
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1013260001
FL
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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