Provider Demographics
NPI:1306428636
Name:UNLIMITED MED SUPPLY INC
Entity type:Organization
Organization Name:UNLIMITED MED SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-822-0107
Mailing Address - Street 1:9000 SHERIDAN ST STE 162
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8808
Mailing Address - Country:US
Mailing Address - Phone:954-822-0107
Mailing Address - Fax:
Practice Address - Street 1:9000 SHERIDAN ST STE 162
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-8808
Practice Address - Country:US
Practice Address - Phone:954-822-0107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies