Provider Demographics
NPI:1275781270
Name:ACE MEDICAL EQUIPMENT GROUP CORP
Entity Type:Organization
Organization Name:ACE MEDICAL EQUIPMENT GROUP CORP
Other - Org Name:ACE MEDICAL EQUIPMENT GROUP CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-558-1499
Mailing Address - Street 1:1572 W 37TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4624
Mailing Address - Country:US
Mailing Address - Phone:305-558-1499
Mailing Address - Fax:305-558-1570
Practice Address - Street 1:1572 W 37TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4624
Practice Address - Country:US
Practice Address - Phone:305-558-1499
Practice Address - Fax:305-558-1570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH232033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2116771OtherPK
2116771OtherPK