Organization
MEDICA MERICA SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIAN CARMONA (AUTHIZED OFFICIAL)
(305) 417-1548
Entity
Organization
Contact information
Practice address
4700 N HIATUS RD STE 253, SUNRISE, FL 33351-7905
(954) 709-7959
Mailing address
4700 N HIATUS RD STE 253, SUNRISE, FL 33351-7905
(954) 709-7959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
02/18/2021
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