MEDICARE: ANGELS OXI PLUS, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	1790	FL

General Provider Information

NPI Number	:	1265438725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS OXI PLUS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 574646
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32857-4646
Country	:	US
Telephone Number	:	321-235-2753
Fax Number	:	321-235-2753

Provider Business Practice Location Address
First Line	:	5448 HOFFNER AVE
Second Line	:	SUITE 402
City	:	ORLANDO
State	:	FL
Zip	:	32812-2505
Country	:	US
Telephone Number	:	321-235-2753
Fax Number	:	321-235-2753

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. LUIS A SALDANA
Credential	:
Telephone Number	:	407-928-8899

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	04/15/2008

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