Healthcare Provider Details

I. General information

NPI: 1861258576
Provider Name (Legal Business Name): AB GLOBAL MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1923 MONROE ST
HOLLYWOOD FL
33020-5035
US

IV. Provider business mailing address

1923 MONROE ST
HOLLYWOOD FL
33020-5035
US

V. Phone/Fax

Practice location:
  • Phone: 954-740-3759
  • Fax:
Mailing address:
  • Phone: 954-740-3759
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ADESHINA OGUNDEYI
Title or Position: PRESIDENT
Credential:
Phone: 954-740-3759