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NPI 1508301904

OrganizationActive

2nd Phoenix Inc

NPI 1508301904 · Durable Medical Equipment & Medical Supplies · Hialeah, FL

Provider details

NPI number: 1508301904
Entity type: Organization
Primary specialty: Durable Medical Equipment & Medical SuppliesSuppliers
Authorized official: Sergio Becerra, Ceo
License: 7178621 (FL)

Practice location

7420 W 18th Ln

Hialeah, FL 33014-3717

Phone: (305) 600-4421

Fax: (786) 475-1414

More FL providers

Mailing address

7420 W 18th Ln

Hialeah, FL 33014-3717

Registry dates

Enumerated: 2016-12-21
Last updated: 2016-12-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

2nd Phoenix Inc — NPI 1508301904, Hialeah, FL | NPI Central