Provider Demographics
NPI:1659392371
Name:AMERICAN SUPPLY & EQUIPMENT CORP
Entity Type:Organization
Organization Name:AMERICAN SUPPLY & EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ENEDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-930-8827
Mailing Address - Street 1:6802 A N. ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-5776
Mailing Address - Country:US
Mailing Address - Phone:813-930-8827
Mailing Address - Fax:813-930-8916
Practice Address - Street 1:6802 A N. ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5776
Practice Address - Country:US
Practice Address - Phone:813-930-8827
Practice Address - Fax:813-930-8916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHME2334332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHME2334OtherHOME MEDICAL EQUIP. SERV.
FL1248660001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT
FLHME2334OtherHOME MEDICAL EQUIP. SERV.