MEDICARE: AMERICA MOBILE HEALTH SERVICE 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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1518912815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICA MOBILE HEALTH SERVICE INC

Provider Business Mailing Address
First Line	:	2134 W 68TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1845
Country	:	US
Telephone Number	:	305-556-1400
Fax Number	:	305-556-1460

Provider Business Practice Location Address
First Line	:	2134 W 68TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1845
Country	:	US
Telephone Number	:	305-556-1400
Fax Number	:	305-556-1460

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM FERREIRA
Credential	:
Telephone Number	:	305-556-1400

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	06/17/2008

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