Provider Demographics
NPI:1407552649
Name:MAXIMUM A SUPPLIES INC
Entity Type:Organization
Organization Name:MAXIMUM A SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENE ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDOVES CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-448-6659
Mailing Address - Street 1:18425 NW 2ND AVE STE 404C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18425 NW 2ND AVE STE 404C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4500
Practice Address - Country:US
Practice Address - Phone:954-448-6659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies