Provider Demographics
NPI:1205865102
Name:MAYLEO MEDICAL STAFFING AND SUPPLU, INC.
Entity Type:Organization
Organization Name:MAYLEO MEDICAL STAFFING AND SUPPLU, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYTE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-403-7124
Mailing Address - Street 1:139 NE 1ST ST STE 621
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-2520
Mailing Address - Country:US
Mailing Address - Phone:305-403-7424
Mailing Address - Fax:
Practice Address - Street 1:139 NE 1ST ST STE 621
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2520
Practice Address - Country:US
Practice Address - Phone:305-403-7424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies