Provider Demographics
NPI:1265679096
Name:MEDICAL & BIOTECH DEPOT INC.
Entity Type:Organization
Organization Name:MEDICAL & BIOTECH DEPOT INC.
Other - Org Name:AW MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CERINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-234-5985
Mailing Address - Street 1:935 NW 31ST AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-1191
Mailing Address - Country:US
Mailing Address - Phone:954-532-9412
Mailing Address - Fax:
Practice Address - Street 1:935 NW 31ST AVE
Practice Address - Street 2:SUITE F
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-1191
Practice Address - Country:US
Practice Address - Phone:954-532-9412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies