=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114942034
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANKA MEDICAL EQUIPMENT INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2006
-----------------------------------------------------
Last Update Date | 03/05/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2460 SW 8TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33135-3016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-541-1669
-----------------------------------------------------
Fax | 305-541-4831
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2460 SW 8TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33135-3016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-541-1669
-----------------------------------------------------
Fax | 305-541-4831
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ZORAIDA MONTESINO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-514-2363
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH 22077
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------