Provider Demographics
NPI:1275691750
Name:A CARING MEDICAL SUPPLY CTR
Entity Type:Organization
Organization Name:A CARING MEDICAL SUPPLY CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABU
Authorized Official - Middle Name:NASIR
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-683-2999
Mailing Address - Street 1:2695 N MILITARY TRL
Mailing Address - Street 2:SUITE NO 20
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2946
Mailing Address - Country:US
Mailing Address - Phone:561-683-2999
Mailing Address - Fax:561-683-6480
Practice Address - Street 1:2695 N. MILITARY TRAIL
Practice Address - Street 2:SUITE NO 20
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2946
Practice Address - Country:US
Practice Address - Phone:561-683-2999
Practice Address - Fax:561-683-6480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL951865700Medicaid
FL1157610001Medicare NSC