Provider Demographics
NPI:1912556515
Name:AMWAY MEDICAL BILLING AND SUPPLY, LLC
Entity Type:Organization
Organization Name:AMWAY MEDICAL BILLING AND SUPPLY, LLC
Other - Org Name:AMWAY TRANSCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GILIW CARMEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-718-3530
Mailing Address - Street 1:326 WINGHURST BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8063
Mailing Address - Country:US
Mailing Address - Phone:407-988-9721
Mailing Address - Fax:407-641-9566
Practice Address - Street 1:326 WINGHURST BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8063
Practice Address - Country:US
Practice Address - Phone:407-988-9721
Practice Address - Fax:407-641-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)