Provider Demographics
NPI:1396368080
Name:ARIA MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:ARIA MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:NASIR
Authorized Official - Last Name:MIRZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-731-9277
Mailing Address - Street 1:321 NORTHLAKE BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5410
Mailing Address - Country:US
Mailing Address - Phone:407-731-9277
Mailing Address - Fax:
Practice Address - Street 1:321 NORTHLAKE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5410
Practice Address - Country:US
Practice Address - Phone:407-731-9277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-28
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies