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NPI Code Detail

MEDICARE: JOSTHER MEDICAL SUPPLY CORP

MEDICARE: JOSTHER MEDICAL SUPPLY CORP
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 Supplies1312075FL

General Provider Information

NPI Number : 1841276060
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSTHER MEDICAL SUPPLY CORP
Provider Business Mailing Address
First Line : 1177 W 37TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4941
Country : US
Telephone Number : 305-364-0830
Fax Number : 305-364-0860
Provider Business Practice Location Address
First Line : 1177 W 37TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-4941
Country : US
Telephone Number : 305-364-0830
Fax Number : 305-364-0860
Authorized Official
Title or Position : PRESIDENT/ OWNER
Name : MR. LUIS SOTO
Credential :
Telephone Number : 305-364-0830
Provider Enumeration Date : 12/20/2005
Last Update Date : 08/22/2020

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Directions to “JOSTHER MEDICAL SUPPLY CORP ” Practice Location

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