Provider Demographics
NPI:1154655397
Name:AMERICAN MEDICAL DEVICES, INC.
Entity Type:Organization
Organization Name:AMERICAN MEDICAL DEVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:SHARRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-671-8022
Mailing Address - Street 1:2721 FORSYTH RD STE 365
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-8210
Mailing Address - Country:US
Mailing Address - Phone:407-671-8022
Mailing Address - Fax:
Practice Address - Street 1:2721 FORSYTH RD STE 365
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-8210
Practice Address - Country:US
Practice Address - Phone:407-671-8022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies