# ATLANTIS PRO MED INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225020902
- **Authorized official:** MR. RICARDO AGUERA (C.F.O)
- **Authorized official phone:** (305) 477-5430

## Contact information

- **Practice address:** 8215 NW 64TH ST, BAY 2, MIAMI, FL 33166-2767
- **Practice address phone:** (877) 477-2764
- **Practice address fax:** (877) 276-5431
- **Mailing address:** 8215 NW 64TH ST, BAY 2, MIAMI, FL 33166-2767
- **Mailing address phone:** (877) 477-2764
- **Mailing address fax:** (877) 276-5431

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1928 | FL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | ORF 122 | FL | — |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 09/11/2025