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NPI Code Detail

MEDICARE: ADR SERVICES GROUP INC

MEDICARE: ADR SERVICES GROUP 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
1332B00000XDurable Medical Equipment & Medical Supplies

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PENDING MEDICARE #OTHERFLPENDING MEDICARE #

General Provider Information

NPI Number : 1821263070
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADR SERVICES GROUP INC
Provider Business Mailing Address
First Line : 4471 NW 36TH ST
Second Line : 231
City : MIAMI SPRINGS
State : FL
Zip : 33166-7285
Country : US
Telephone Number :
Fax Number : 305-805-1574
Provider Business Practice Location Address
First Line : 4471 NW 36TH ST
Second Line : 231
City : MIAMI SPRINGS
State : FL
Zip : 33166-7285
Country : US
Telephone Number : 305-882-1554
Fax Number : 305-805-1574
Authorized Official
Title or Position : PRESIDENT
Name : ADONIS DIAZ
Credential :
Telephone Number : 305-882-1554
Provider Enumeration Date : 04/29/2008
Last Update Date : 04/29/2008

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Directions to “ADR SERVICES GROUP INC ” Practice Location

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