Organization
HAVANA MED SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIOSMEL MARTINEZ (PRESIDENT)
(786) 426-4024
Entity
Organization
Contact information
Practice address
4445 W 16TH AVE STE 600, HIALEAH, FL 33012-2960
(305) 819-1849
(305) 819-1850
Mailing address
4445 W 16TH AVE STE 600, HIALEAH, FL 33012-2960
(305) 819-1849
(305) 819-1850
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
09/07/2007
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