Provider Demographics
NPI:1760559991
Name:AMT MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:AMT MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOREJON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-344-9458
Mailing Address - Street 1:4070 NW 132ND ST
Mailing Address - Street 2:BAY Q
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-4547
Mailing Address - Country:US
Mailing Address - Phone:305-685-1127
Mailing Address - Fax:305-685-1129
Practice Address - Street 1:4070 NW 132ND ST
Practice Address - Street 2:BAY Q
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-4547
Practice Address - Country:US
Practice Address - Phone:305-685-1127
Practice Address - Fax:305-685-1129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL573167-5332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5977370001Medicare NSC