Provider Demographics
NPI:1598841926
Name:D&V SERVICES SUPPLIES ,INC
Entity Type:Organization
Organization Name:D&V SERVICES SUPPLIES ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-887-1668
Mailing Address - Street 1:930 HIALEAH DR
Mailing Address - Street 2:11
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5534
Mailing Address - Country:US
Mailing Address - Phone:786-247-4512
Mailing Address - Fax:305-887-1603
Practice Address - Street 1:930 HIALEAH DR
Practice Address - Street 2:11
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5534
Practice Address - Country:US
Practice Address - Phone:786-247-4512
Practice Address - Fax:305-887-1603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies