Provider Demographics
NPI:1518912815
Name:AMERICA MOBILE HEALTH SERVICE INC
Entity Type:Organization
Organization Name:AMERICA MOBILE HEALTH SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FERREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-556-1400
Mailing Address - Street 1:2134 W 68TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1845
Mailing Address - Country:US
Mailing Address - Phone:305-556-1400
Mailing Address - Fax:305-556-1460
Practice Address - Street 1:2134 W 68TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1845
Practice Address - Country:US
Practice Address - Phone:305-556-1400
Practice Address - Fax:305-556-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1045Medicare ID - Type Unspecified