Provider Demographics
NPI:1659960409
Name:AO MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:AO MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-843-0510
Mailing Address - Street 1:1761 W HILLSBORO BLVD STE 407
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1563
Mailing Address - Country:US
Mailing Address - Phone:800-843-0510
Mailing Address - Fax:
Practice Address - Street 1:1761 W HILLSBORO BLVD STE 407
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1563
Practice Address - Country:US
Practice Address - Phone:800-843-0510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies