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Organization
ATLANTIC MEDICAL INC
Active
Organization
ATLANTIC MEDICAL INC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
STEPHE GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
532 WILBORN AVE, SOUTH BOSTON, VA 24592-3120
(434) 572-1853
(434) 572-1934
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 206-0040
(407) 206-0010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010198682
—
VA
01
—
181047
ANTHEM
VA
Enumeration date
10/03/2006
Last updated
03/12/2018
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