Organization
PROLINE MED SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN SANTA CRUZ SR. (PRESIDENT)
(877) 352-1903
Entity
Organization
Contact information
Practice address
2667 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-3763
(877) 352-1903
Mailing address
1525 TAMIAMI TRL S STE 603F, VENICE, FL 34285-3568
(941) 809-2311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/21/2020
Last updated
09/22/2020
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