Provider Demographics
NPI:1033287586
Name:MEDAMERICA, INC.
Entity Type:Organization
Organization Name:MEDAMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-394-9040
Mailing Address - Street 1:7100 W CAMINO REAL
Mailing Address - Street 2:SUITE 405
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5510
Mailing Address - Country:US
Mailing Address - Phone:561-394-9040
Mailing Address - Fax:561-362-9060
Practice Address - Street 1:7100 W CAMINO REAL
Practice Address - Street 2:SUITE 405
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:561-394-9040
Practice Address - Fax:561-362-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4526560001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER