Provider Demographics
NPI:1205829413
Name:USA MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:USA MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:BARRETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-585-5250
Mailing Address - Street 1:6300 S DIXIE HWY
Mailing Address - Street 2:STE 102
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4348
Mailing Address - Country:US
Mailing Address - Phone:561-585-5250
Mailing Address - Fax:561-585-5450
Practice Address - Street 1:6300 S DIXIE HWY
Practice Address - Street 2:STE 102
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4348
Practice Address - Country:US
Practice Address - Phone:561-585-5250
Practice Address - Fax:561-585-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL201891OtherAMERIGROUP
FL=========OtherHEALTHCARE DIST
FL=========OtherHEALTHCARE DIST