Provider Demographics
NPI:1790840577
Name:AMERICAN MEDICAL SUPPLIERS INC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL SUPPLIERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-290-2005
Mailing Address - Street 1:6325 N ORANGE BLOSSOM TRL
Mailing Address - Street 2:SUITE 127
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-4222
Mailing Address - Country:US
Mailing Address - Phone:407-290-2005
Mailing Address - Fax:407-290-2009
Practice Address - Street 1:6325 N ORANGE BLOSSOM TRL
Practice Address - Street 2:SUITE 127
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-4222
Practice Address - Country:US
Practice Address - Phone:407-290-2005
Practice Address - Fax:407-290-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313116332B00000X
FL32 03718332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
R9576OtherBLUE CROSS BLUE SHIELD
N343602OtherWELLCARE
N343602OtherWELLCARE
=========OtherHUMANA
N343602OtherWELLCARE