MEDICARE: A-I MEDICAL, 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	261Q00000X	Clinic/Center	HCC6778	FL

General Provider Information

NPI Number	:	1659545622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-I MEDICAL, INC.

Provider Business Mailing Address
First Line	:	3210 W COLUMBUS DR STE B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 W COLUMBUS DR STE B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1816
Country	:	US
Telephone Number	:	813-876-7812
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLEY GARCIA
Credential	:
Telephone Number	:	813-876-7812

Provider Enumeration Date	:	04/21/2008
Last Update Date	:	04/21/2008

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