MEDICARE: ACUTE MEDICAL SUPPLY

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	AL961	FL

General Provider Information

NPI Number	:	1295159275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUTE MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	1165 FALLS BLVD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-1726
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 FALLS BLVD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-1726
Country	:	US
Telephone Number	:	954-800-3466
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JOE KANEFSKY
Credential	:	ATC
Telephone Number	:	954-800-3466

Provider Enumeration Date	:	02/11/2014
Last Update Date	:	02/11/2014

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Directions to “ACUTE MEDICAL SUPPLY ” Practice Location

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