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NPI Code Detail

MEDICARE: SOUL MEDICAL, INC.

MEDICARE: SOUL MEDICAL, 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
1332B00000XDurable Medical Equipment & Medical Supplies1312971FL

General Provider Information

NPI Number : 1598796385
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUL MEDICAL, INC.
Provider Business Mailing Address
First Line : 1330 CORAL WAY
Second Line : 307
City : MIAMI
State : FL
Zip : 33145-2929
Country : US
Telephone Number : 305-854-2727
Fax Number : 305-854-2757
Provider Business Practice Location Address
First Line : 1330 CORAL WAY
Second Line : 307
City : MIAMI
State : FL
Zip : 33145-2929
Country : US
Telephone Number : 305-854-2727
Fax Number : 305-854-2757
Authorized Official
Title or Position : PRESIDENT
Name : ROBERTO PEREZ
Credential :
Telephone Number : 305-854-2727
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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Directions to “SOUL MEDICAL, INC. ” Practice Location

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