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NPI Code Detail

MEDICARE: MASTERCARE MEDICAL SUPPLIES INC

MEDICARE: MASTERCARE MEDICAL SUPPLIES 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
1332BX2000XOxygen Equipment & Supplies (DME)32:00287FL
2332B00000XDurable Medical Equipment & Medical Supplies149FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1212216OTHERFLHME FOR AMERIGROUP HMO

General Provider Information

NPI Number : 1386649127
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASTERCARE MEDICAL SUPPLIES INC
Provider Business Mailing Address
First Line : 175 FONTAINEBLEAU BLVD
Second Line : STE 1N5
City : MIAMI
State : FL
Zip : 33172-4511
Country : US
Telephone Number : 305-229-1770
Fax Number : 305-229-2857
Provider Business Practice Location Address
First Line : 175 FONTAINEBLEAU BLVD
Second Line : STE 1N5
City : MIAMI
State : FL
Zip : 33172-4511
Country : US
Telephone Number : 305-229-1770
Fax Number : 305-229-2857
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ROSAURA A SOSA
Credential :
Telephone Number : 305-229-1770
Provider Enumeration Date : 06/17/2005
Last Update Date : 09/11/2025

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Directions to “MASTERCARE MEDICAL SUPPLIES INC ” Practice Location

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