Provider Demographics
NPI:1720170350
Name:ANGELS MEDICAL EQUIPMENT & SUPPLIES
Entity Type:Organization
Organization Name:ANGELS MEDICAL EQUIPMENT & SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAYSI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-267-9381
Mailing Address - Street 1:7452 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2913
Mailing Address - Country:US
Mailing Address - Phone:305-267-9381
Mailing Address - Fax:305-267-9392
Practice Address - Street 1:7452 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2913
Practice Address - Country:US
Practice Address - Phone:305-267-9381
Practice Address - Fax:305-267-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2406332B00000X
FL3203617332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2406OtherAHCA
FL3203617OtherOXYGEN
FL5014640001Medicare ID - Type Unspecified