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NPI Code Detail

MEDICARE: G AND Y DME AND SUPPLY CORP

MEDICARE: G AND Y DME AND 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 Supplies
23336C0003XCommunity/Retail PharmacyPH22845FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11031878OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1871667329
Entity Type Code : Organization
Provider Name (Legal Business Name) : G AND Y DME AND SUPPLY CORP
Provider Business Mailing Address
First Line : 5896 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33144-3363
Country : US
Telephone Number : 305-265-0091
Fax Number : 305-265-0084
Provider Business Practice Location Address
First Line : 5896 W FLAGLER ST
Second Line :
City : MIAMI
State : FL
Zip : 33144-3363
Country : US
Telephone Number : 305-265-0091
Fax Number : 305-265-0084
Authorized Official
Title or Position : PRESIDENT
Name : MELISSA CRUZ
Credential :
Telephone Number : 305-256-0091
Provider Enumeration Date : 11/17/2006
Last Update Date : 05/02/2011

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Directions to “G AND Y DME AND SUPPLY CORP ” Practice Location

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