MEDICARE: ANGELS MEDICAL EQUIPMENT & SUPPLIES

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)	3203617	FL
2	332B00000X	Durable Medical Equipment & Medical Supplies	2406	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2406	OTHER	FL	AHCA
2	3203617	OTHER	FL	OXYGEN

General Provider Information

NPI Number	:	1720170350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS MEDICAL EQUIPMENT & SUPPLIES

Provider Business Mailing Address
First Line	:	7452 NW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2913
Country	:	US
Telephone Number	:	305-267-9381
Fax Number	:	305-267-9392

Provider Business Practice Location Address
First Line	:	7452 NW 8TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2913
Country	:	US
Telephone Number	:	305-267-9381
Fax Number	:	305-267-9392

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAYSI ARIZ
Credential	:
Telephone Number	:	305-267-9381

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	02/02/2009

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Directions to “ANGELS MEDICAL EQUIPMENT & SUPPLIES ” Practice Location

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