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Organization
ATLANTIC MEDICAL SUPPLY, INC.
Active
Organization
ATLANTIC MEDICAL SUPPLY, INC.
Active
Parent organization
AEROCARE HOLDINGS LLC
Other names
AeroCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1850 NW 122ND TER, PEMBROKE PINES, FL 33026-1966
(305) 269-0440
(305) 269-0401
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
939 CERT 6417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011672700
—
FL
01
—
939 CERT 6417
DME LICENSE
FL
01
—
R7606
BCBS PROVIDER NUMBER
FL
Enumeration date
08/17/2005
Last updated
10/12/2025
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