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NPI Code Detail

MEDICARE: SUPREME TOUCH INC.

MEDICARE: SUPREME TOUCH INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302F00000XExclusive Provider OrganizationMA 41724FL

General Provider Information

NPI Number : 1417288200
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPREME TOUCH INC.
Provider Business Mailing Address
First Line : 13899 BISCAYNE BLVD
Second Line : SUITE 201
City : NORTH MIAMI BEACH
State : FL
Zip : 33181-1600
Country : US
Telephone Number : 305-341-3518
Fax Number : 305-341-3517
Provider Business Practice Location Address
First Line : 13899 BISCAYNE BLVD
Second Line : SUITE 201
City : NORTH MIAMI BEACH
State : FL
Zip : 33181-1600
Country : US
Telephone Number : 305-341-3518
Fax Number : 305-341-3517
Authorized Official
Title or Position : OWNER/OPERATOR
Name : VILMA BARRAMEDA
Credential :
Telephone Number : 786-290-3012
Provider Enumeration Date : 01/19/2010
Last Update Date : 02/03/2010

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Directions to “SUPREME TOUCH INC. ” Practice Location

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