Provider Demographics
NPI:1821270976
Name:THE RELIABLE MEDICAL SUPPLY SERVICES, INC
Entity Type:Organization
Organization Name:THE RELIABLE MEDICAL SUPPLY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAWA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:305-232-9306
Mailing Address - Street 1:12920 SW 128TH ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6272
Mailing Address - Country:US
Mailing Address - Phone:305-232-9306
Mailing Address - Fax:305-232-9305
Practice Address - Street 1:12920 SW 128TH ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6272
Practice Address - Country:US
Practice Address - Phone:305-232-9306
Practice Address - Fax:305-232-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-30
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies