Provider Demographics
NPI:1689621302
Name:OMED MEDICAL SUPPLIES, INC
Entity Type:Organization
Organization Name:OMED MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:CHINEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-599-6065
Mailing Address - Street 1:8051 NW 36TH ST
Mailing Address - Street 2:SUITE 612
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6626
Mailing Address - Country:US
Mailing Address - Phone:305-599-6065
Mailing Address - Fax:
Practice Address - Street 1:8051 NW 36TH ST
Practice Address - Street 2:SUITE 612
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6626
Practice Address - Country:US
Practice Address - Phone:305-599-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies