Provider Demographics
NPI:1699177584
Name:BEST CARE MEDICAL SUPPLY OF PANAMA CITY LLC
Entity Type:Organization
Organization Name:BEST CARE MEDICAL SUPPLY OF PANAMA CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSTAFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-401-1454
Mailing Address - Street 1:2810 HIGHWAY 77 STE B
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4498
Mailing Address - Country:US
Mailing Address - Phone:850-249-2359
Mailing Address - Fax:
Practice Address - Street 1:2810 HIGHWAY 77 STE B
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4498
Practice Address - Country:US
Practice Address - Phone:850-249-2359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies