MEDICARE: APM PROVIDERS, INC

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	NOT REQUIRED	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	R8467	OTHER	FL	BC/BS PROVIDER#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114996402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APM PROVIDERS, INC

Provider Business Mailing Address
First Line	:	PO BOX 51582
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32240-1582
Country	:	US
Telephone Number	:	904-241-5310
Fax Number	:	904-247-9145

Provider Business Practice Location Address
First Line	:	1823 3RD ST N
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7469
Country	:	US
Telephone Number	:	904-241-5310
Fax Number	:	904-247-9145

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. THOMAS C WALT
Credential	:
Telephone Number	:	904-241-5310

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	04/20/2008

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Directions to “APM PROVIDERS, INC ” Practice Location

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