| Organization Name: | TAJOSE LLC |
| NPI Number: | 1043248107 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL A MARQUEZ (OFFICE MANAGER) |
| Mailing Address: | 2351 Nw 93 Avenue Suite A Doral |
| State: | FL US |
| Postal Code: | 331724811 |
| Phone Number: | 3055949899 |
| Fax Number: | 3055949821 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 5465710001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |