Mama's On Wheels LLC

NPI #1376203505 in Miami, Florida

Provider Information

NPI Number: 1376203505
Entity Type: Organization
Organization Name: Mama's On Wheels LLC
Primary Specialty: Medical Foods Supplier
Enumeration Date: Dec 29, 2021
Last Updated: Dec 29, 2021

Practice Location

Address: 111 SW 3RD ST STE PH
City: Miami
State: Florida
ZIP Code: 33130-1926
Phone: (305) 395-8099

Authorized Official

Name: MR. BORJA FABREGAS
Title: CEO
Phone: (305) 395-8099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medical Foods Supplier	335G00000X	Primary

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