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NPI 1740836188

NPI 1740836188 : NEW HORIZONS MEDICAL SUPPLIES, INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1740836188
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW HORIZONS MEDICAL SUPPLIES, INC 
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Dates
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    Enumeration Date     |    08/12/2019
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    Last Update Date     |    08/12/2019
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Provider Practice Location Address
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    Address Line         |    1890 SW 57TH AVE STE 110 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-2164
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    Country              |    US
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    Telephone            |    305-456-5596
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    Fax                  |    786-313-3597
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Provider Business Mailing Address
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    Address Line         |    1890 SW 57TH AVE STE 110 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33155-2164
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    Country              |    US
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    Telephone            |    305-456-5596
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    Fax                  |    786-313-3597
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Authorized Official
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    Title or Position    |    PRESEDENT
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    Name                 |     HIGINIO EDEL CARDENAS MACHADO 
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    Credential           |    
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    Telephone            |    305-456-5596
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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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