Organization
ELITE DME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FUENTES (PRESIDENT)
(305) 804-9318
Entity
Organization
Contact information
Practice address
12385 SW 129TH CT, #109, MIAMI, FL 33186-6407
(305) 225-5770
Mailing address
12385 SW 129TH CT, #109, MIAMI, FL 33186-6407
(305) 225-5770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
IN PROCESS OF AHCA
FL
Other
Enumeration date
04/16/2009
Last updated
06/12/2009
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