MEDICARE: AMERICAN DISCOUNT DIAPER OUTLET

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	2340	FL

General Provider Information

NPI Number	:	1790890911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN DISCOUNT DIAPER OUTLET

Provider Business Mailing Address
First Line	:	8240 S STATE ROAD 7 STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-4516
Country	:	US
Telephone Number	:	561-533-8707
Fax Number	:	561-533-8705

Provider Business Practice Location Address
First Line	:	8240 S STATE ROAD 7 STE 220
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-4516
Country	:	US
Telephone Number	:	561-533-8707
Fax Number	:	561-533-8705

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ALICIA AMPARO FIERRO
Credential	:	DME
Telephone Number	:	561-533-8707

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	05/31/2024

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