MEDICARE: MEDIC-AID & MEDIC-CARE

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	:	1184010811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDIC-AID & MEDIC-CARE

Provider Business Mailing Address
First Line	:	3700 GALT OCEAN DRIVE
Second Line	:	APT. 1509
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	516-304-6448
Fax Number	:

Provider Business Practice Location Address
First Line	:	3700 GALT OCEAN DRIVE
Second Line	:	APT. 1509
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	516-304-6448
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY MCLEAN
Credential	:
Telephone Number	:	516-304-6448

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	04/09/2015

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