Provider Demographics
NPI:1366635856
Name:AARON MEDICAL EQUIPMENT DISTRIBUTORS, LLC
Entity Type:Organization
Organization Name:AARON MEDICAL EQUIPMENT DISTRIBUTORS, LLC
Other - Org Name:AMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:V
Authorized Official - Last Name:ANNECHIARICO
Authorized Official - Suffix:SR
Authorized Official - Credentials:RN
Authorized Official - Phone:772-878-1096
Mailing Address - Street 1:582 NW UNIVERSITY BLVD
Mailing Address - Street 2:#200
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2265
Mailing Address - Country:US
Mailing Address - Phone:772-878-1096
Mailing Address - Fax:772-878-1678
Practice Address - Street 1:582 NW UNIVERSITY BLVD
Practice Address - Street 2:#200
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2265
Practice Address - Country:US
Practice Address - Phone:772-878-1096
Practice Address - Fax:772-878-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6680138681142332B00000X
FL66-8013868114-2332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies