MEDICARE: O & A MEDICAL EQUIPMENT 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

General Provider Information

NPI Number	:	1972528156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O & A MEDICAL EQUIPMENT SUPPLY, INC

Provider Business Mailing Address
First Line	:	900 NE 125TH ST
Second Line	:	SUITE 206
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5745
Country	:	US
Telephone Number	:	305-899-7782
Fax Number	:	305-899-7783

Provider Business Practice Location Address
First Line	:	900 NE 125TH ST
Second Line	:	SUITE 206
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5745
Country	:	US
Telephone Number	:	305-899-7782
Fax Number	:	305-899-7783

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EDDY ALBELO GOMEZ
Credential	:
Telephone Number	:	305-899-7782

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	12/28/2007

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