Provider Demographics
NPI:1972528156
Name:O & A MEDICAL EQUIPMENT SUPPLY, INC
Entity Type:Organization
Organization Name:O & A MEDICAL EQUIPMENT SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDY
Authorized Official - Middle Name:ALBELO
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-899-7782
Mailing Address - Street 1:900 NE 125TH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5745
Mailing Address - Country:US
Mailing Address - Phone:305-899-7782
Mailing Address - Fax:305-899-7783
Practice Address - Street 1:900 NE 125TH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5745
Practice Address - Country:US
Practice Address - Phone:305-899-7782
Practice Address - Fax:305-899-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5730590001Medicare NSC