MEDICARE: AMERICAN BIOCARE COMPANY, 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	699	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	:	1487702056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN BIOCARE COMPANY, INC.

Provider Business Mailing Address
First Line	:	7045 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5252
Country	:	US
Telephone Number	:	813-936-1616
Fax Number	:	813-936-1818

Provider Business Practice Location Address
First Line	:	7045 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5252
Country	:	US
Telephone Number	:	813-936-1616
Fax Number	:	813-936-1818

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANTONIO DEL VALLE
Credential	:
Telephone Number	:	813-936-1616

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	05/29/2012

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