MEDICARE: TOP QUALITY MEDICAL SUPPLY LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1851042576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOP QUALITY MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	9500 NW 77TH AVE STE 14
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2522
Country	:	US
Telephone Number	:	305-200-5561
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 NW 77TH AVE STE 14
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2522
Country	:	US
Telephone Number	:	305-200-5561
Fax Number	:

Authorized Official
Title or Position	:	AMBR
Name	:	EMILIO GARCIA MORALES
Credential	:
Telephone Number	:	305-200-5561

Provider Enumeration Date	:	01/13/2022
Last Update Date	:	06/17/2022

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