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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