Healthcare Provider Details

I. General information

NPI: 1053033746
Provider Name (Legal Business Name): JMS MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12150 SW 128TH CT STE 226
MIAMI FL
33186-4674
US

IV. Provider business mailing address

12150 SW 128TH CT STE 226
MIAMI FL
33186-4674
US

V. Phone/Fax

Practice location:
  • Phone: 305-964-5172
  • Fax:
Mailing address:
  • Phone: 305-964-5172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: YOHAN MARTINEZ SANCHEZ
Title or Position: OWNER
Credential:
Phone: 305-964-5172