Provider Demographics
NPI:1184010811
Name:MEDIC-AID & MEDIC-CARE
Entity Type:Organization
Organization Name:MEDIC-AID & MEDIC-CARE
Other - Org Name:MM DIABETICS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-304-6448
Mailing Address - Street 1:3700 GALT OCEAN DRIVE
Mailing Address - Street 2:APT. 1509
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308
Mailing Address - Country:US
Mailing Address - Phone:516-304-6448
Mailing Address - Fax:
Practice Address - Street 1:3700 GALT OCEAN DRIVE
Practice Address - Street 2:APT. 1509
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:516-304-6448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies