NPI | 1790758936 |
---|---|
Doing Business As | BAYSHORE DURA MEDICAL |
Entity Type | Organization |
Authorized Contact | ROBERT MENDIA President And Owner 305-821-1202 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2023-09-25 |