Provider Demographics
NPI:1487718318
Name:ROS MEDICAL SUPPLIES, INC.
Entity type:Organization
Organization Name:ROS MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARAELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-256-9910
Mailing Address - Street 1:16934 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4354
Mailing Address - Country:US
Mailing Address - Phone:305-256-9910
Mailing Address - Fax:305-256-9910
Practice Address - Street 1:16934 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:VILLAGE OF PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-4354
Practice Address - Country:US
Practice Address - Phone:305-256-9910
Practice Address - Fax:305-256-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312470332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL32 04116OtherOXYGEN LICENSE
FL1312470OtherHME LICENSE
FL32 04116OtherOXYGEN LICENSE