Healthcare Provider Details

I. General information

NPI: 1598174252
Provider Name (Legal Business Name): ABLE MEDICAL AIDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2014
Last Update Date: 09/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 MISSOURI AVE N
LARGO FL
33770-1849
US

IV. Provider business mailing address

1280 MISSOURI AVE N
LARGO FL
33770-1849
US

V. Phone/Fax

Practice location:
  • Phone: 727-586-2995
  • Fax: 727-588-0899
Mailing address:
  • Phone: 727-586-2995
  • Fax: 727-588-0899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number587
License Number StateFL

VIII. Authorized Official

Name: MRS. NANCY SIMMONS
Title or Position: SEC/TREASURER
Credential:
Phone: 727-586-2995