MEDICARE: ALDO SURGICAL & HOSPITAL SUPPLY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	ORTHOTICS ONLY
2	332B00000X	Durable Medical Equipment & Medical Supplies	1249	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154328086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDO SURGICAL & HOSPITAL SUPPLY, INC.

Provider Business Mailing Address
First Line	:	8074 NW 103RD ST
Second Line	:	SUITE 21
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2256
Country	:	US
Telephone Number	:	305-557-2835
Fax Number	:	305-821-3645

Provider Business Practice Location Address
First Line	:	8074 NW 103RD ST
Second Line	:	SUITE 21
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2256
Country	:	US
Telephone Number	:	305-557-2835
Fax Number	:	305-821-3645

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ADELINA E AMAT
Credential	:
Telephone Number	:	305-557-2835

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	09/29/2011

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