Provider Demographics
NPI:1720528623
Name:FLORIDA ALL MEDICAL
Entity Type:Organization
Organization Name:FLORIDA ALL MEDICAL
Other - Org Name:FLORIDA ALL MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YESSYKA
Authorized Official - Middle Name:BENITEZ
Authorized Official - Last Name:COSMIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-590-8931
Mailing Address - Street 1:100 N STATE ROAD 7
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4520
Mailing Address - Country:US
Mailing Address - Phone:954-532-4122
Mailing Address - Fax:954-657-8149
Practice Address - Street 1:100 N STATE ROAD 7
Practice Address - Street 2:SUITE 104
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4520
Practice Address - Country:US
Practice Address - Phone:954-532-4122
Practice Address - Fax:954-657-8149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X, 332S00000X
332BP3500X, 333600000X, 335G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332S00000XSuppliersHearing Aid Equipment
No333600000XSuppliersPharmacy
No335G00000XSuppliersMedical Foods Supplier