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General NPI Number Information
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NPI Number | 1154958650
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Entity Type | Organization
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Legal Business Name | DIMA MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 3512 18TH ST SW
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City | LEHIGH ACRES
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State | FL
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Zip | 33976-3423
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Country | US
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Telephone | 305-647-6004
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Fax | 786-796-7769
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Provider Business Mailing Address
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Address Line | 3512 18TH ST SW
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City | LEHIGH ACRES
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State | FL
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Zip | 33976-3423
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Country | US
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Telephone | 305-647-6004
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Fax | 786-796-7769
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Authorized Official
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Title or Position | OWNER
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Name | DIDIET GARRIDO BLANCO
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Credential |
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Telephone | 305-978-1585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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