MEDICARE: A3I, 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1124569231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A3I, INC.

Provider Business Mailing Address
First Line	:	4300 W LAKE MARY BLVD
Second Line	:	SUITE 1010 #413
City	:	LAKE MARY
State	:	FL
Zip	:	32746-2060
Country	:	US
Telephone Number	:	888-234-6735
Fax Number	:	407-734-1548

Provider Business Practice Location Address
First Line	:	600 RINEHART RD
Second Line	:	SUITE 2156
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4803
Country	:	US
Telephone Number	:	877-234-1505
Fax Number	:	407-792-1948

Authorized Official
Title or Position	:	CEO
Name	:	MR. JORGE AMARO
Credential	:	FACHE
Telephone Number	:	407-734-0642

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	04/22/2022

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