MEDICARE: UNIVERSAL 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	:	1841237229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	310
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-362-0556
Fax Number	:

Provider Business Practice Location Address
First Line	:	6151 MIRAMAR PKWY
Second Line	:	310
City	:	MIRAMAR
State	:	FL
Zip	:	33023-3970
Country	:	US
Telephone Number	:	954-362-0556
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAZARO GARRIDO SR.
Credential	:
Telephone Number	:	786-312-4006

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/22/2020

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