Provider Demographics
NPI:1356908883
Name:MILLENNIAL MEDICAL SUPPLIES & EQUIPMENT LLC
Entity type:Organization
Organization Name:MILLENNIAL MEDICAL SUPPLIES & EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SZAJKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-478-9287
Mailing Address - Street 1:7815 SW 24TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6541
Mailing Address - Country:US
Mailing Address - Phone:305-456-0866
Mailing Address - Fax:786-391-2606
Practice Address - Street 1:7815 SW 24TH ST STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6541
Practice Address - Country:US
Practice Address - Phone:305-456-0866
Practice Address - Fax:407-704-7091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies