MEDICARE: AERMED HEALTH 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	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1760021521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AERMED HEALTH LLC

Provider Business Mailing Address
First Line	:	2078 SCENIC GULF DR LOT 24
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-3207
Country	:	US
Telephone Number	:	804-305-7131
Fax Number	:

Provider Business Practice Location Address
First Line	:	2078 SCENIC GULF DR LOT 24
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-3207
Country	:	US
Telephone Number	:	804-305-7131
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMBER FORDHAM
Credential	:	RN
Telephone Number	:	804-305-7131

Provider Enumeration Date	:	12/27/2019
Last Update Date	:	12/27/2019

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Directions to “AERMED HEALTH LLC ” Practice Location

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