Organization
MIAMI LAKES MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY R CROUSER (PRES)
(754) 581-2043
Entity
Organization
Contact information
Practice address
6447 MIAMI LAKES DRIVE, 222E, MIAMI LAKES, FL 33014-2741
(754) 581-2043
Mailing address
6447 MIAMI LAKES DRIVE, 222E, MIAMI LAKES, FL 33014-2741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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