MEDICARE: TT 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1720018401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TT MEDICAL SUPPLIES INC

Provider Business Mailing Address
First Line	:	13255 SW 137TH AVE
Second Line	:	202
City	:	MIAMI
State	:	FL
Zip	:	33186-5326
Country	:	US
Telephone Number	:	305-278-9418
Fax Number	:

Provider Business Practice Location Address
First Line	:	13255 SW 137TH AVE
Second Line	:	202
City	:	MIAMI
State	:	FL
Zip	:	33186-5326
Country	:	US
Telephone Number	:	305-278-9418
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LUIS DIAZ
Credential	:
Telephone Number	:	305-720-5204

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/22/2020

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Directions to “TT MEDICAL SUPPLIES INC ” Practice Location

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