MEDICARE: NEW AMERICAN ENTERPRISES LLC

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	:	1457669038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW AMERICAN ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	5032 CAPITAL CIRCLE SW
Second Line	:	SUITE 2#119
City	:	TALLAHASSEE
State	:	FL
Zip	:	32305
Country	:	US
Telephone Number	:	702-277-7838
Fax Number	:

Provider Business Practice Location Address
First Line	:	5032 CAPITAL CIR SW STE 2
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32305-7886
Country	:	US
Telephone Number	:	702-277-7838
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. PATRICK GLOVER
Credential	:	MBA
Telephone Number	:	702-277-7838

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	09/17/2010

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