Provider Demographics
NPI:1932780665
Name:SOLE MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:SOLE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:SOLEDAD
Authorized Official - Last Name:FABRIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-536-2440
Mailing Address - Street 1:7875 SW 40TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3510
Mailing Address - Country:US
Mailing Address - Phone:786-536-2440
Mailing Address - Fax:
Practice Address - Street 1:7875 SW 40TH ST STE 220
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3510
Practice Address - Country:US
Practice Address - Phone:786-536-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies