Provider Demographics
NPI:1972689925
Name:AMELIA MEDICAL EQUIPTMENT, INC.
Entity Type:Organization
Organization Name:AMELIA MEDICAL EQUIPTMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-357-8111
Mailing Address - Street 1:11117 W OKEECHOBEE RD # 212
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4212
Mailing Address - Country:US
Mailing Address - Phone:305-828-2425
Mailing Address - Fax:305-364-3366
Practice Address - Street 1:11117 W OKEECHOBEE RD # 212
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4212
Practice Address - Country:US
Practice Address - Phone:305-828-2425
Practice Address - Fax:305-364-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2258332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies