Provider Demographics
NPI:1205863594
Name:A-G CARE MEDICAL EQUIPMENT CORPORATION
Entity Type:Organization
Organization Name:A-G CARE MEDICAL EQUIPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-766-9699
Mailing Address - Street 1:21202 OLEAN BLVD
Mailing Address - Street 2:SUITE E-3
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-6751
Mailing Address - Country:US
Mailing Address - Phone:941-766-9699
Mailing Address - Fax:941-766-9697
Practice Address - Street 1:21202 OLEAN BLVD
Practice Address - Street 2:SUITE E-3
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-6751
Practice Address - Country:US
Practice Address - Phone:941-766-9699
Practice Address - Fax:941-766-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1460332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR8223OtherBLUE CROSS PROVIDER NUMBE
FL0847840001Medicare NSC