Provider Demographics
NPI:1982708079
Name:ATLANTIC HEALTHCARE PRODUCTS INC
Entity Type:Organization
Organization Name:ATLANTIC HEALTHCARE PRODUCTS INC
Other - Org Name:ATLANTIC HEALTHCARE PRODUCTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARATTA
Authorized Official - Suffix:
Authorized Official - Credentials:OFA CFO
Authorized Official - Phone:561-964-6767
Mailing Address - Street 1:6782 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-3322
Mailing Address - Country:US
Mailing Address - Phone:561-964-6767
Mailing Address - Fax:561-964-2747
Practice Address - Street 1:6782 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-3322
Practice Address - Country:US
Practice Address - Phone:561-964-6767
Practice Address - Fax:561-964-2747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2380332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4952430001Medicare NSC
ND4952430001Medicare NSC
AZ4952430001Medicare NSC