Provider Demographics
NPI:1245258797
Name:WEST DADE MED-SUPPLY INC.
Entity type:Organization
Organization Name:WEST DADE MED-SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-249-0966
Mailing Address - Street 1:13255 SW 137TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5326
Mailing Address - Country:US
Mailing Address - Phone:786-333-0126
Mailing Address - Fax:786-249-0966
Practice Address - Street 1:13255 SW 137TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5326
Practice Address - Country:US
Practice Address - Phone:786-333-0126
Practice Address - Fax:786-249-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies