MEDICARE: ALL GROUP MEDICAL SUPPLY 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

General Provider Information

NPI Number	:	1417960774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL GROUP MEDICAL SUPPLY INC.

Provider Business Mailing Address
First Line	:	3468 W 84TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4927
Country	:	US
Telephone Number	:	305-823-7468
Fax Number	:	305-823-7449

Provider Business Practice Location Address
First Line	:	3468 W 84TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-4927
Country	:	US
Telephone Number	:	305-823-7468
Fax Number	:	305-823-7449

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NORMA GUTIERREZ
Credential	:
Telephone Number	:	305-823-7468

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	12/11/2007

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