Provider Demographics
NPI:1669585071
Name:KROME MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:KROME MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIYURKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-246-3147
Mailing Address - Street 1:1452 N KROME AVE
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2440
Mailing Address - Country:US
Mailing Address - Phone:305-246-3147
Mailing Address - Fax:305-246-3148
Practice Address - Street 1:1452 N KROME AVE
Practice Address - Street 2:SUITE 102A
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2440
Practice Address - Country:US
Practice Address - Phone:305-246-3147
Practice Address - Fax:305-246-3148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies