Provider Demographics
NPI:1952886012
Name:ATMED DURABLE MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:ATMED DURABLE MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERROD
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-268-7553
Mailing Address - Street 1:4009 NW 1ST PL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-8011
Mailing Address - Country:US
Mailing Address - Phone:954-268-7553
Mailing Address - Fax:844-266-5234
Practice Address - Street 1:4009 NW 1ST PL
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-8011
Practice Address - Country:US
Practice Address - Phone:954-268-7553
Practice Address - Fax:844-266-5234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies