Provider Demographics
NPI:1518968379
Name:AM-MED DIABETIC SUPPLIES, INC.
Entity Type:Organization
Organization Name:AM-MED DIABETIC SUPPLIES, INC.
Other - Org Name:BEYOND MEDICAL USA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARONOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-900-3504
Mailing Address - Street 1:5180 W ATLANTIC AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8103
Mailing Address - Country:US
Mailing Address - Phone:888-255-7060
Mailing Address - Fax:561-423-6141
Practice Address - Street 1:5180 W ATLANTIC AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8103
Practice Address - Country:US
Practice Address - Phone:888-255-7060
Practice Address - Fax:561-423-6141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MBKD, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-08-02
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2005-17493332B00000X
FL326852332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4502800001Medicare NSC