Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI Number | 1164414959 |
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| LBN Legal business name | ABC MEDICAL SUPPLY, INC. | ||||||||
| Authorized official | MIRIAM CARMONA - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/17/2005 | ||||||||
| Last updated | 01/20/2012 - About 14 years ago | ||||||||
| Identifiers |
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