MEDICARE: AMOR HAULING 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1598697625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMOR HAULING LLC

Provider Business Mailing Address
First Line	:	1219 SW 81ST TER
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-3536
Country	:	US
Telephone Number	:	321-399-0873
Fax Number	:

Provider Business Practice Location Address
First Line	:	1219 SW 81ST TER
Second Line	:
City	:	NORTH LAUDERDALE
State	:	FL
Zip	:	33068-3536
Country	:	US
Telephone Number	:	321-399-0873
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DERRELL BOOTHE
Credential	:
Telephone Number	:	321-399-0873

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “AMOR HAULING LLC ” Practice Location

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