=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275691750
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A CARING MEDICAL SUPPLY CTR
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2006
-----------------------------------------------------
Last Update Date | 10/21/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2695 N. MILITARY TRAIL SUITE NO 20
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33409-2946
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-683-2999
-----------------------------------------------------
Fax | 561-683-6480
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2695 N MILITARY TRL SUITE NO 20
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33409-2946
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-683-2999
-----------------------------------------------------
Fax | 561-683-6480
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. ABU NASIR AHMED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 561-683-2999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------