Healthcare Provider Details

I. General information

NPI: 1104082601
Provider Name (Legal Business Name): GABLES MEDICAL SUPPLIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2008
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 N BAYSHORE DR PHD3951
MIAMI FL
33132-1180
US

IV. Provider business mailing address

1717 N BAYSHORE DR PHD3951
MIAMI FL
33132-1180
US

V. Phone/Fax

Practice location:
  • Phone: 305-915-0818
  • Fax: 305-643-4123
Mailing address:
  • Phone: 305-915-0818
  • Fax: 305-643-4123

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: MRS. YARELIS GUTIERRREZ
Title or Position: PRESIDENT
Credential:
Phone: 305-915-0818