Healthcare Provider Details

I. General information

NPI: 1669934147
Provider Name (Legal Business Name): AMERICAS MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 NW 13TH ST STE 30411
BOCA RATON FL
33432-1645
US

IV. Provider business mailing address

123 NW 13TH ST STE 30411
BOCA RATON FL
33432-1645
US

V. Phone/Fax

Practice location:
  • Phone: 561-756-8624
  • Fax:
Mailing address:
  • Phone: 561-756-8624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA MABIE
Title or Position: OWNER
Credential:
Phone: 561-756-8624