Healthcare Provider Details

I. General information

NPI: 1700099371
Provider Name (Legal Business Name): NOW MEDICAL SUPPLY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4070 NW 132ND ST SUIT P
OPA LOCKA FL
33054-4547
US

IV. Provider business mailing address

4070 NW 132ND ST
OPA LOCKA FL
33054-4547
US

V. Phone/Fax

Practice location:
  • Phone: 786-303-5578
  • Fax:
Mailing address:
  • Phone: 786-303-5578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LIEBERMAN MOLINER
Title or Position: PRESIDEN
Credential:
Phone: 305-595-1932