MEDICARE: ABILITY HEALTH SERVICES, 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	332B00000X	Durable Medical Equipment & Medical Supplies	OT 9182	FL

General Provider Information

NPI Number	:	1396839809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	401 VENTURE DR
Second Line	:	C
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-3478
Country	:	US
Telephone Number	:	386-760-5042
Fax Number	:	386-760-5056

Provider Business Practice Location Address
First Line	:	401 VENTURE DR
Second Line	:	C
City	:	SOUTH DAYTONA
State	:	FL
Zip	:	32119-3478
Country	:	US
Telephone Number	:	386-763-0084
Fax Number	:	386-763-0085

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN E GUERRINA
Credential	:	ATC/L,CSCS,LMT
Telephone Number	:	407-688-0070

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/11/2008

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