MEDICARE: ARDY MEDICAL SUPPLY CORP

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

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	:	1942268941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARDY MEDICAL SUPPLY CORP

Provider Business Mailing Address
First Line	:	9786 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7574
Country	:	US
Telephone Number	:	305-551-5018
Fax Number	:	305-551-5054

Provider Business Practice Location Address
First Line	:	9786 SW 24TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-7574
Country	:	US
Telephone Number	:	305-551-5018
Fax Number	:	305-551-5054

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	MR. PETER SZAJKO
Credential	:
Telephone Number	:	305-551-5018

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/24/2023

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Directions to “ARDY MEDICAL SUPPLY CORP ” Practice Location

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