MEDICARE: SUPERIOR MEDICAL SUPPLY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PH22060	FL

General Provider Information

NPI Number	:	1023022860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPERIOR MEDICAL SUPPLY, INC

Provider Business Mailing Address
First Line	:	7264 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4654
Country	:	US
Telephone Number	:	305-262-5643
Fax Number	:

Provider Business Practice Location Address
First Line	:	7264 SW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4654
Country	:	US
Telephone Number	:	305-262-5643
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MEDYN M GESSA
Credential	:
Telephone Number	:	305-281-7107

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	09/11/2025

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