Provider Demographics
NPI:1821050592
Name:ALLMED SERVICES USA INC
Entity Type:Organization
Organization Name:ALLMED SERVICES USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:352-742-0588
Mailing Address - Street 1:PO BOX 1130
Mailing Address - Street 2:1501 E. ALFRED STREET
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-1130
Mailing Address - Country:US
Mailing Address - Phone:352-742-0588
Mailing Address - Fax:352-742-1633
Practice Address - Street 1:1501 E ALFRED ST
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-3509
Practice Address - Country:US
Practice Address - Phone:352-742-0588
Practice Address - Fax:352-742-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312404332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL028248100Medicaid
FL028248100Medicaid