Provider Demographics
NPI:1326150830
Name:ALL FLORIDA MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:ALL FLORIDA MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARTINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-272-0207
Mailing Address - Street 1:601 N CONGRESS AVENUE
Mailing Address - Street 2:BLDG 6 UNIT 606
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-4646
Mailing Address - Country:US
Mailing Address - Phone:561-272-0207
Mailing Address - Fax:561-272-6164
Practice Address - Street 1:601 N CONGRESS AVENUE
Practice Address - Street 2:BLDG 6 UNIT 606
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-4646
Practice Address - Country:US
Practice Address - Phone:561-272-0207
Practice Address - Fax:561-272-6164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL833332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
R8509OtherBCBS
0963770001Medicare ID - Type Unspecified