Provider Demographics
NPI:1821000712
Name:AITIMA MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:AITIMA MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-922-9750
Mailing Address - Street 1:701 PARK OF COMMERCE BLVD STE 301A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3604
Mailing Address - Country:US
Mailing Address - Phone:561-922-9750
Mailing Address - Fax:561-989-7260
Practice Address - Street 1:701 PARK OF COMMERCE BLVD STE 301A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-3604
Practice Address - Country:US
Practice Address - Phone:561-922-9750
Practice Address - Fax:561-989-7260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022535500Medicaid
FL022535500Medicaid