MEDICARE: AAA DISCOUNT MEDICAL 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	332B00000X	Durable Medical Equipment & Medical Supplies	1313049	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

General Provider Information

NPI Number	:	1447568969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA DISCOUNT MEDICAL SUPPLY, INC

Provider Business Mailing Address
First Line	:	5471 N DIXIE HWY
Second Line	:	#8
City	:	BOCA RATON
State	:	FL
Zip	:	33487-4905
Country	:	US
Telephone Number	:	561-893-9670
Fax Number	:	561-893-9669

Provider Business Practice Location Address
First Line	:	5471 N DIXIE HWY
Second Line	:	#8
City	:	BOCA RATON
State	:	FL
Zip	:	33487-4905
Country	:	US
Telephone Number	:	561-893-9670
Fax Number	:	561-893-9669

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FRANKIE LANE
Credential	:
Telephone Number	:	561-893-9670

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	09/17/2010

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