Organization Name: | SUPERIOR CARE MEDICAL SUPPLIES |
NPI Number: | 1578743712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA XIOMARA VEGA (PRESIDENT) |
Mailing Address: | 8264 Nw South River Dr Medley |
State: | FL US |
Postal Code: | 331667451 |
Phone Number: | 3058850740 |
Fax Number: | 3058850745 |
NPI Enumeration Date: | 11/05/2007 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 158 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |