Healthcare Provider Details

I. General information

NPI: 1497832786
Provider Name (Legal Business Name): OTIF MEDICAL SUPPLIES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 NW 14TH ST SUITE A
MIAMI FL
33125-2611
US

IV. Provider business mailing address

1501 NW 14TH ST SUITE A
MIAMI FL
33125-2611
US

V. Phone/Fax

Practice location:
  • Phone: 305-545-8811
  • Fax: 305-545-8822
Mailing address:
  • Phone: 305-545-8811
  • Fax: 305-545-8822

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: MR. RODOLFO RUMBAUT
Title or Position: PRESIDENT
Credential:
Phone: 305-545-8811