Provider Demographics
NPI:1548212657
Name:M M MEDICAL SUPPLY
Entity Type:Organization
Organization Name:M M MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REINALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GALINDO
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:305-253-7471
Mailing Address - Street 1:13370 SW 131ST ST
Mailing Address - Street 2:STE 109
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13370 SW 131ST ST
Practice Address - Street 2:STE 109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5883
Practice Address - Country:US
Practice Address - Phone:305-253-7471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5594520001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies