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General NPI Number Information
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NPI Number | 1578633764
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Entity Type | Organization
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Legal Business Name | FOREVER MEDICAL SUPPLY RENTAL,INC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4950 W FLAGLER ST SUITE 1
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City | CORAL GABLES
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State | FL
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Zip | 33134-1255
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Country | US
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Telephone | 305-476-9570
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Fax | 305-476-9573
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Provider Business Mailing Address
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Address Line | 4950 W FLAGLER ST SUITE 1
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City | CORAL GABLES
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State | FL
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Zip | 33134-1255
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Country | US
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Telephone | 305-476-9570
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Fax | 305-476-9573
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEJANDRO GOMEZ
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Credential |
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Telephone | 305-476-9570
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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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