Provider Demographics
NPI:1861000366
Name:ADVANCED MEDICAL DME LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:METZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-361-2919
Mailing Address - Street 1:10211 W. SAMPLE RD.
Mailing Address - Street 2:SUITE 217
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3988
Mailing Address - Country:US
Mailing Address - Phone:754-812-1935
Mailing Address - Fax:954-775-0151
Practice Address - Street 1:10211 W. SAMPLE RD.
Practice Address - Street 2:SUITE 217
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3988
Practice Address - Country:US
Practice Address - Phone:754-812-1935
Practice Address - Fax:954-775-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies