Provider Demographics
NPI:1679541296
Name:AK ALAMO MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:AK ALAMO MEDICAL SERVICES INC
Other - Org Name:NATIONWIDE WHEELCHAIR SCOOTER AND LIFT
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ROXAS
Authorized Official - Last Name:DIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-227-9050
Mailing Address - Street 1:1536 CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935
Mailing Address - Country:US
Mailing Address - Phone:321-255-5549
Mailing Address - Fax:321-255-5692
Practice Address - Street 1:1536 CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935
Practice Address - Country:US
Practice Address - Phone:321-255-5549
Practice Address - Fax:321-255-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1368332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022730700Medicaid
FL4173800001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT