Provider Demographics
NPI:1598835274
Name:ALL GROUP MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:ALL GROUP MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:P
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-823-7468
Mailing Address - Street 1:3468 W 84TH ST
Mailing Address - Street 2:B107
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4927
Mailing Address - Country:US
Mailing Address - Phone:305-823-7468
Mailing Address - Fax:305-823-7468
Practice Address - Street 1:3468 W 84TH ST
Practice Address - Street 2:B107
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4927
Practice Address - Country:US
Practice Address - Phone:305-823-7468
Practice Address - Fax:305-823-7468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5763540001Medicare ID - Type Unspecified