Provider Demographics
NPI:1083899868
Name:AAA MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:AAA MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAZARCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-944-7670
Mailing Address - Street 1:1006 SAGO PALM WAY
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2004
Mailing Address - Country:US
Mailing Address - Phone:813-944-7670
Mailing Address - Fax:813-641-2142
Practice Address - Street 1:141 SCARLET BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3015
Practice Address - Country:US
Practice Address - Phone:813-855-6455
Practice Address - Fax:813-855-6953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies