MEDICARE: ADVANCE MEDICAL EQUIPMENT 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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1487767984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE MEDICAL EQUIPMENT SUPPLY INC

Provider Business Mailing Address
First Line	:	3618 W FLAGLER ST
Second Line	:	STE: 2
City	:	MIAMI
State	:	FL
Zip	:	33135-1020
Country	:	US
Telephone Number	:	305-785-7072
Fax Number	:

Provider Business Practice Location Address
First Line	:	3618 W FLAGLER ST
Second Line	:	STE: 2
City	:	MIAMI
State	:	FL
Zip	:	33135-1020
Country	:	US
Telephone Number	:	305-785-7072
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HECTOR DUENAS
Credential	:
Telephone Number	:	305-785-7072

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	08/22/2020

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