MEDICARE: AMERICAN #1 SUPPLIER

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	:	1902983158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN #1 SUPPLIER

Provider Business Mailing Address
First Line	:	2880 W OAKLAND PARK BLVD
Second Line	:	STE 211
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1354
Country	:	US
Telephone Number	:	954-735-9195
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 W OAKLAND PARK BLVD
Second Line	:	STE 211
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1354
Country	:	US
Telephone Number	:	954-735-9195
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VICENTE A DIAZ
Credential	:
Telephone Number	:	954-735-9195

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/22/2020

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Directions to “AMERICAN #1 SUPPLIER ” Practice Location

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