Provider Demographics
NPI:1033276761
Name:FLORIDA ONE SUPPLY INC
Entity Type:Organization
Organization Name:FLORIDA ONE SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LACA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-2225
Mailing Address - Street 1:1700 S RED RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-2163
Mailing Address - Country:US
Mailing Address - Phone:305-261-2225
Mailing Address - Fax:305-261-2272
Practice Address - Street 1:1700 S RED RD
Practice Address - Street 2:SUITE 214
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-2163
Practice Address - Country:US
Practice Address - Phone:305-261-2225
Practice Address - Fax:305-261-2272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies