Provider Demographics
NPI:1114942034
Name:ANKA MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:ANKA MEDICAL EQUIPMENT INC
Other - Org Name:POPULAR RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZORAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTESINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-514-2363
Mailing Address - Street 1:2460 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3016
Mailing Address - Country:US
Mailing Address - Phone:305-541-1669
Mailing Address - Fax:305-541-4831
Practice Address - Street 1:2460 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3016
Practice Address - Country:US
Practice Address - Phone:305-541-1669
Practice Address - Fax:305-541-4831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 220773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5746740001Medicare NSC