Organization
MIAMI MEDICAL LLC
Active
Other names
Miami Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO MUSTELIER VIDAL (PRESIDENT)
(954) 241-4340
Entity
Organization
Contact information
Practice address
4503 NW 103RD AVE STE 103, SUNRISE, FL 33351-7981
(305) 299-7126
Mailing address
4503 NW 103RD AVE STE 103, SUNRISE, FL 33351-7981
(954) 241-4340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
09/07/2022
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