MEDICARE: ONE MEDICAL HEALTH SUPPLIES 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	:	1154954501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE MEDICAL HEALTH SUPPLIES CORP

Provider Business Mailing Address
First Line	:	4700 N HIATUS RD STE 358
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-7905
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 CAMINO GARDENS BLVD STE 201C
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-5837
Country	:	US
Telephone Number	:	561-827-4815
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ZACHARY S. SEID
Credential	:
Telephone Number	:	561-827-4815

Provider Enumeration Date	:	02/13/2020
Last Update Date	:	07/24/2020

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