MEDICARE: USA MEDICAL SUPPLIES 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		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	201891	OTHER	FL	AMERIGROUP

General Provider Information

NPI Number	:	1205829413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USA MEDICAL SUPPLIES INC

Provider Business Mailing Address
First Line	:	6300 S DIXIE HWY
Second Line	:	STE 102
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4348
Country	:	US
Telephone Number	:	561-585-5250
Fax Number	:	561-585-5450

Provider Business Practice Location Address
First Line	:	6300 S DIXIE HWY
Second Line	:	STE 102
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4348
Country	:	US
Telephone Number	:	561-585-5250
Fax Number	:	561-585-5450

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MIRIAM PATRICIA BARRETO
Credential	:
Telephone Number	:	561-585-5250

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	08/22/2020

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Directions to “USA MEDICAL SUPPLIES INC ” Practice Location

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