Organization
EDDIE'S MED SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB ESPINOZA (AUTHORIZED OFFICIAL)
(954) 709-7959
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 213, DORAL, FL 33122-1003
(305) 898-9756
Mailing address
2500 NW 79TH AVE STE 213, DORAL, FL 33122-1003
(305) 898-9756
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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