Healthcare Provider Details

I. General information

NPI: 1033168844
Provider Name (Legal Business Name): NEW VISION MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13020 SW 120TH ST
MIAMI FL
33186-4522
US

IV. Provider business mailing address

13020 SW 120TH ST
MIAMI FL
33186-4522
US

V. Phone/Fax

Practice location:
  • Phone: 305-232-4223
  • Fax: 305-232-4353
Mailing address:
  • Phone: 305-232-4223
  • Fax: 305-232-4353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH23604
License Number StateFL

VIII. Authorized Official

Name: RAMIRO RAMIREZ
Title or Position: PRESIDENT
Credential:
Phone: 305-232-4223