Organization
HIALEAH MEDICAL SUPPLIES CORP
Active
Organization
HIALEAH MEDICAL SUPPLIES CORP
Active
Other names
HIALEAH MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO MANGANO (PRESIDENT)
(305) 362-4118
Entity
Organization
Contact information
Practice address
8325 W 24TH AVE STE 7, HIALEAH, FL 33016-1880
(305) 362-4118
(305) 362-4514
Mailing address
8325 W 24TH AVE STE 7, HIALEAH, FL 33016-1880
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033555
OTHER ID NUMBER
—
Enumeration date
09/20/2006
Last updated
03/31/2008
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