Healthcare Provider Details
I. General information
NPI: 1932281433
Provider Name (Legal Business Name): ASSOCIATED MEDICAL COMPANY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2006
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2232 W 80TH ST UNIT 2
HIALEAH FL
33016-5524
US
IV. Provider business mailing address
2232 W. 80 ST. UNIT 2
HIALEAH FL
33016
US
V. Phone/Fax
- Phone: 305-558-1800
- Fax: 305-362-1935
- Phone: 305-558-1800
- Fax: 305-362-1935
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 52 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 3201673 |
| License Number State | FL |
VIII. Authorized Official
Name: MRS.
ROSARIO
L NAVARRO
Title or Position: CEO
Credential:
Phone: 786-417-5996