Provider Demographics
NPI:1508234725
Name:AMPMROX INC
Entity Type:Organization
Organization Name:AMPMROX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:5617-279-2660
Mailing Address - Street 1:1832 17TH AVE N
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-6432
Mailing Address - Country:US
Mailing Address - Phone:561-727-9260
Mailing Address - Fax:
Practice Address - Street 1:1832 17TH AVE N
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-6432
Practice Address - Country:US
Practice Address - Phone:561-727-9260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9175209163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Single Specialty