MEDICARE: KROME 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

General Provider Information

NPI Number	:	1669585071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KROME MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	1452 N KROME AVE
Second Line	:	SUITE 102A
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-2440
Country	:	US
Telephone Number	:	305-246-3147
Fax Number	:	305-246-3148

Provider Business Practice Location Address
First Line	:	1452 N KROME AVE
Second Line	:	SUITE 102A
City	:	FLORIDA CITY
State	:	FL
Zip	:	33034-2440
Country	:	US
Telephone Number	:	305-246-3147
Fax Number	:	305-246-3148

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MIYURKIS WONG
Credential	:
Telephone Number	:	305-246-3147

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	08/22/2020

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