NPI:
1003431131
Provider Name:
INNOVATIVE DURABLE MEDICAL, LLC
Doing Business As: INNOVATIVE DURABLE MEDICAL, LLC
Classification:
Podiatrist - 213ES0103X
Entity Type:
Organization
Specialization: Foot & Ankle Surgery
Address:
16400 NE 19TH AVE
NORTH MIAMI BEACH, FL
ZIP 33162
Phone:
(305) 864-1373
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INNOVATIVE DURABLE MEDICAL, LLC is a foot and ankle surgery podiatrist in North Miami Beach, FL. INNOVATIVE DURABLE MEDICAL, LLC NPI is 1003431131. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Innovative Durable Medical, Llc.
The provider's business location address is:
16400 NE 19TH AVE
NORTH MIAMI BEACH, FL
ZIP 33162-115
Phone: (305) 864-1373
Fax: (305) 868-3124
The provider's authorized official is Dmitry Sandler .
The authorized official title is Owner and has the following contact phone number (305) 864-1373.
The enumeration date for this NPI number is 6/15/2020 and was last updated on 5/14/2021.