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General NPI Number Information
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NPI Number | 1386649127
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Entity Type | Organization
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Legal Business Name | MASTERCARE MEDICAL SUPPLIES INC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 1N5
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-229-1770
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Fax | 305-229-2857
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Provider Business Mailing Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 1N5
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-229-1770
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Fax | 305-229-2857
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ROSAURA A SOSA
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Credential |
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Telephone | 305-229-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 32:00287
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 149
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License Number State | FL
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