So Florida Medical Supply Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SO FLORIDA MEDICAL SUPPLY GROUP INC

Practice address

15190 SW 136TH St Ste 12
Miami, FL 33196-2618

Phone

(786) 429-1544

Fax

(786) 513-7627

NPI assigned

Nov 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alieski Cruz Ramirez

Title

President

Phone

(786) 786-4265

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1780228577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962618",
            "telephone_number": "786-429-1544",
            "fax_number": "786-513-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 SW 136TH ST STE 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962618",
            "telephone_number": "786-429-1544",
            "fax_number": "786-513-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO FLORIDA MEDICAL SUPPLY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "CRUZ RAMIREZ",
        "authorized_official_first_name": "ALIESKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-786-4265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Leo Snyder, RDN
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• Skyler So
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• Jeniffer Soares
• Marcio Rotta Soares, M.D.

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.