MEDICARE: AMESHACOUTURE

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	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1255117263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMESHACOUTURE

Provider Business Mailing Address
First Line	:	19780 NW 27TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2520
Country	:	US
Telephone Number	:	786-810-0912
Fax Number	:

Provider Business Practice Location Address
First Line	:	19780 NW 27TH AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2520
Country	:	US
Telephone Number	:	786-810-0912
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JUCARA COLOMATHI
Credential	:
Telephone Number	:	786-810-0912

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	09/05/2023

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Directions to “AMESHACOUTURE ” Practice Location

Language	Start Address	Practice Location

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