MEDICARE: ZEUS AMERICAN 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		FL

General Provider Information

NPI Number	:	1417970765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEUS AMERICAN MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	2998 NW 54 ST.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142
Country	:	US
Telephone Number	:	786-517-0209
Fax Number	:	786-517-0210

Provider Business Practice Location Address
First Line	:	2998 NW 54TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-2857
Country	:	US
Telephone Number	:	786-517-0209
Fax Number	:	786-517-0210

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS NELLY R LAVERDE
Credential	:
Telephone Number	:	786-499-5889

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/27/2007

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