Organization
MA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELITAM LLANES (PRESIDENT)
(305) 265-8683
Entity
Organization
Contact information
Practice address
5850 SW 8TH ST, STE 2, WEST MIAMI, FL 33144-5036
(305) 265-8683
(305) 265-8966
Mailing address
5850 SW 8TH ST, STE 2, WEST MIAMI, FL 33144-5036
(305) 265-8683
(305) 265-8966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2324
FL
Other
Enumeration date
10/19/2006
Last updated
03/31/2008
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