Provider Demographics
NPI:1023066875
Name:AMERICAN MEDICAL, INC
Entity type:Organization
Organization Name:AMERICAN MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:BURDETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-478-2488
Mailing Address - Street 1:1810 OLD OKEECHOBEE RD
Mailing Address - Street 2:STE A
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-5228
Mailing Address - Country:US
Mailing Address - Phone:561-478-2488
Mailing Address - Fax:561-478-2970
Practice Address - Street 1:1810 OLD OKEECHOBEE RD
Practice Address - Street 2:STE A
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5228
Practice Address - Country:US
Practice Address - Phone:561-478-2488
Practice Address - Fax:561-478-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022770600Medicaid
FL022770600Medicaid