MEDICARE: ABILITY HEALTH SERVICES, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies	686675	FL

General Provider Information

NPI Number	:	1992085302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	1200 LEXINGTON GREEN LN
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-1013
Country	:	US
Telephone Number	:	407-322-3442
Fax Number	:	407-322-8404

Provider Business Practice Location Address
First Line	:	453 N KIRKMAN RD
Second Line	:	SUITE 104
City	:	ORLANDO
State	:	FL
Zip	:	32811-1109
Country	:	US
Telephone Number	:	407-293-3156
Fax Number	:	407-293-3155

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. JOHN GUERINNA
Credential	:
Telephone Number	:	386-851-0901

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	08/17/2011

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