MEDICARE: ALL BAY MEDICAL EQUIPMENT

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NPP1026538	OTHER	FL	LIABILITY INSURANCE

General Provider Information

NPI Number	:	1912920364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL BAY MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	8405 N HIMES AVE STE 207
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1617
Country	:	US
Telephone Number	:	786-853-9828
Fax Number	:

Provider Business Practice Location Address
First Line	:	8405 N HIMES AVE STE 207
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1617
Country	:	US
Telephone Number	:	786-853-9828
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ODALYS FERNADEZ
Credential	:
Telephone Number	:	786-853-9828

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/22/2020

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Directions to “ALL BAY MEDICAL EQUIPMENT ” Practice Location

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