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ABACOA MEDICAL SUPPLIES INC NPI 1619465689


NPI Information

NPI: 1619465689
Provider Name: ABACOA MEDICAL SUPPLIES INC

Doing Business As: ABACOA MEDICAL SUPPLIES, INC.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
751 PARK OF COMMERCE DR STE 138
BOCA RATON, FL
ZIP 33487
Phone: (561) 994-2302
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ABACOA MEDICAL SUPPLIES INC is a durable medical equipment medical supplies in Boca Raton, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ABACOA MEDICAL SUPPLIES INC NPI is 1619465689. The provider is registered as an organization entity type.
The provider Is Doing Business As Abacoa Medical Supplies, Inc..

The provider's business location address is:

751 PARK OF COMMERCE DR STE 138
BOCA RATON, FL
ZIP 33487-623
Phone: (561) 994-2302
Fax: (888) 204-4514

The provider's authorized official is Lawrence Dickson .
The authorized official title is President and has the following contact phone number (561) 271-1645.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies2018106632FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12177429OTHERPK
2NOT AVAILABLEMEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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