Organization
MEDICAL SUPPLIES DISTRIBUTOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD TEJEDA (DIRECTOR)
(954) 351-2445
Entity
Organization
Contact information
Practice address
1001 NW 62ND ST, STE 302W, BUILDING 3, FORT LAUDERDALE, FL 33309-1900
(943) 351-2445
Mailing address
1001 NW 62ND ST, STE 302W, BUILDING 3, FORT LAUDERDALE, FL 33309-1900
(943) 351-2445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
03/07/2008
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