NPI 1497299929
Queens Medical Supply LLC
Practice location
- Address
- 16772 NE 5th Ave, N Miami Beach, FL 33162-3928
- Phone
- (954) 289-2169
Authorised official
- Name
- Kenneth Lee Dor
- Title
- Owner
- Phone
- (954) 289-2169
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1497299929
- Entity type
- Organization
- NPI issued
- 19 Dec 2016
- Record last updated
- 18 Feb 2019
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.