Organization
FONTAINEBLEAU MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAVEL CABRERA (PRESIDENT)
(305) 485-0809
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 1R1, MIAMI, FL 33172-7018
(305) 485-0809
(305) 485-4840
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 1R1, MIAMI, FL 33172-7018
(305) 485-0809
(305) 485-4840
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
HME1312473
FL
Other
Enumeration date
06/04/2006
Last updated
08/22/2020
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