Provider Demographics
NPI:1194758193
Name:ROSSMARY MEDICAL SUPPLIES CORP
Entity type:Organization
Organization Name:ROSSMARY MEDICAL SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REYNER
Authorized Official - Middle Name:
Authorized Official - Last Name:MILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-556-0059
Mailing Address - Street 1:1800 W 49TH ST
Mailing Address - Street 2:SUITE 324-Q
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2900
Mailing Address - Country:US
Mailing Address - Phone:305-556-0059
Mailing Address - Fax:305-556-3900
Practice Address - Street 1:1800 W 49TH ST
Practice Address - Street 2:SUITE 324-Q
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2900
Practice Address - Country:US
Practice Address - Phone:305-556-0059
Practice Address - Fax:305-556-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312918332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies