Organization
AUSTIN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA REYES (PRESIDENT)
(305) 638-7996
Entity
Organization
Contact information
Practice address
5327 NW 36TH AVE, MIAMI, FL 33142-3205
(306) 638-7996
Mailing address
5327 NW 36TH AVE, MIAMI, FL 33142-3205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
715
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
321289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951827400
—
FL
Enumeration date
08/16/2005
Last updated
04/04/2011
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