NPI 1063572345

Micalela Medical Servies INC.

Organisation Oxygen Equipment & Supplies (DME) Virginia Gardens, FL

Practice location

Address: 6595 NW 36th St Suite 111, Virginia Gardens, FL 33166-6979
Phone: (305) 874-2466
Fax: (305) 874-2465

Authorised official

Name: Alexander Pena
Title: President
Phone: (305) 874-2466

Registered specialties

Oxygen Equipment & Supplies (DME) Primary

Suppliers Taxonomy 332BX2000X Licence PENDING AHCA LIC# (FL)

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Registry record

NPI: 1063572345
Entity type: Organization
NPI issued: 9 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.