MEDICARE: ON DEMAND MEDICAL SERVICES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043758857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON DEMAND MEDICAL SERVICES CORP

Provider Business Mailing Address
First Line	:	9361 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4159
Country	:	US
Telephone Number	:	786-857-6257
Fax Number	:	786-857-6258

Provider Business Practice Location Address
First Line	:	9361 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4159
Country	:	US
Telephone Number	:	888-209-5064
Fax Number	:	855-952-2023

Authorized Official
Title or Position	:	MEMBER MGR/OWNER
Name	:	NICHOLAS ALBERINO
Credential	:
Telephone Number	:	888-209-5064

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	02/05/2020

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Directions to “ON DEMAND MEDICAL SERVICES CORP ” Practice Location

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