Healthcare Provider Details

I. General information

NPI: 1598786543
Provider Name (Legal Business Name): AMERIMEDZ II
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 06/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4047 OKEECHOBEE BLVD STE 217
WEST PALM BEACH FL
33409-3237
US

IV. Provider business mailing address

4047 OKEECHOBEE BLVD 217
WEST PALM BEACH FL
33409-3239
US

V. Phone/Fax

Practice location:
  • Phone: 561-833-9960
  • Fax: 561-835-1201
Mailing address:
  • Phone: 561-833-9960
  • Fax: 561-835-1201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPH21575
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KENNETH METZLER
Title or Position: OFFICE MGR
Credential:
Phone: 561-833-6690