Provider Demographics
NPI:1164482915
Name:DOC MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:DOC MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:OCEGUERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-261-1377
Mailing Address - Street 1:7235 SW 24TH ST
Mailing Address - Street 2:STE 204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1466
Mailing Address - Country:US
Mailing Address - Phone:305-261-1377
Mailing Address - Fax:305-261-1577
Practice Address - Street 1:7235 SW 24TH ST
Practice Address - Street 2:STE 204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1466
Practice Address - Country:US
Practice Address - Phone:305-261-1377
Practice Address - Fax:305-261-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHME 135332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0976360001Medicare NSC