Healthcare Provider Details

I. General information

NPI: 1154328086
Provider Name (Legal Business Name): ALDO SURGICAL & HOSPITAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 09/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8074 NW 103RD ST SUITE 21
HIALEAH GARDENS FL
33016-2256
US

IV. Provider business mailing address

8074 NW 103RD ST SUITE 21
HIALEAH GARDENS FL
33016-2256
US

V. Phone/Fax

Practice location:
  • Phone: 305-557-2835
  • Fax: 305-821-3645
Mailing address:
  • Phone: 305-557-2835
  • Fax: 305-821-3645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1249
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberORTHOTICS ONLY
License Number State

VIII. Authorized Official

Name: MRS. ADELINA E AMAT
Title or Position: PRESIDENT
Credential:
Phone: 305-557-2835