Provider Demographics
NPI:1437344850
Name:S & H MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:S & H MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SANABRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-653-7719
Mailing Address - Street 1:160 NW 176TH ST
Mailing Address - Street 2:400-3
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5021
Mailing Address - Country:US
Mailing Address - Phone:305-653-7719
Mailing Address - Fax:305-653-7719
Practice Address - Street 1:160 NW 176TH ST
Practice Address - Street 2:400-3
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-5021
Practice Address - Country:US
Practice Address - Phone:305-653-7719
Practice Address - Fax:305-653-7719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
FL2638541332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies