Provider Demographics
NPI:1356373427
Name:SUPPLY PLUS, INC.
Entity type:Organization
Organization Name:SUPPLY PLUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-439-3909
Mailing Address - Street 1:801 W 49TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3559
Mailing Address - Country:US
Mailing Address - Phone:786-439-3909
Mailing Address - Fax:305-828-3640
Practice Address - Street 1:801 W 49TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3559
Practice Address - Country:US
Practice Address - Phone:786-439-3909
Practice Address - Fax:305-828-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies