MEDICARE: ASCLEPIUS MEDICAL SERVICES, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1710995477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCLEPIUS MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	10550 NW 77TH CT
Second Line	:	#308
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-7084
Country	:	US
Telephone Number	:	305-231-1160
Fax Number	:	305-231-1161

Provider Business Practice Location Address
First Line	:	10550 NW 77TH CT
Second Line	:	#308
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-7084
Country	:	US
Telephone Number	:	305-231-1160
Fax Number	:	305-231-1161

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LOURDES JACOBO
Credential	:
Telephone Number	:	305-231-1160

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	08/22/2020

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Directions to “ASCLEPIUS MEDICAL SERVICES, INC. ” Practice Location

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