Provider Demographics
NPI:1235278433
Name:PAM WILL ENTERPRISES INC
Entity Type:Organization
Organization Name:PAM WILL ENTERPRISES INC
Other - Org Name:A PLUS MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:KLOZOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-255-1444
Mailing Address - Street 1:7276 W ATLANTIC BLVD
Mailing Address - Street 2:#217
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4214
Mailing Address - Country:US
Mailing Address - Phone:954-255-1444
Mailing Address - Fax:954-255-8555
Practice Address - Street 1:7837 W SAMPLE RD
Practice Address - Street 2:#138
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4717
Practice Address - Country:US
Practice Address - Phone:954-255-1444
Practice Address - Fax:954-255-8555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL06-00042096332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1145900001Medicare NSC