Provider Demographics
NPI:1073851697
Name:ADVANCED INNOVATION TECHNOLOGIES, LLC
Entity Type:Organization
Organization Name:ADVANCED INNOVATION TECHNOLOGIES, LLC
Other - Org Name:AI MED-TECH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN, CEO
Authorized Official - Prefix:
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-564-3157
Mailing Address - Street 1:8805 TAMIAMI TRL N
Mailing Address - Street 2:# 122
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2525
Mailing Address - Country:US
Mailing Address - Phone:239-564-3157
Mailing Address - Fax:239-325-9050
Practice Address - Street 1:8805 TAMIAMI TRL N
Practice Address - Street 2:# 122
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-2525
Practice Address - Country:US
Practice Address - Phone:239-564-3157
Practice Address - Fax:239-325-9050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies