Provider Demographics
NPI:1437304276
Name:ATLANTIC HEALTHCARE PRODUCTS INC.
Entity Type:Organization
Organization Name:ATLANTIC HEALTHCARE PRODUCTS INC.
Other - Org Name:ATLANTIC HEALTHCARE PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GM
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARATTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-733-2331
Mailing Address - Street 1:9832 S MILITARY TRAIL G1
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-3294
Mailing Address - Country:US
Mailing Address - Phone:561-733-2331
Mailing Address - Fax:561-733-1110
Practice Address - Street 1:9832 S MILITARY TRAIL G1
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-3294
Practice Address - Country:US
Practice Address - Phone:561-733-2331
Practice Address - Fax:561-733-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313525332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4952430002Medicare NSC
FL4952430002Medicare NSC
ND4952430002Medicare NSC