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Organization
AMERIHEALTH MEDICAL GROUP, INC.
Active
Organization
AMERIHEALTH MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO L MEDINA (CHIEF EXECUTIVE OFFICER)
(305) 238-8088
Entity
Organization
Contact information
Practice address
13985 SW 140TH ST, MIAMI, FL 33186
(305) 238-8088
(305) 238-4776
Mailing address
13985 SW 140TH ST, MIAMI, FL 33186
(305) 238-8088
(305) 238-4776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
3204155
FL
Other
Enumeration date
08/09/2006
Last updated
07/16/2021
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