Organization
ADVANCED MEDICAL SUPPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN H. MIERAS II (VICE PRESIDENT)
(561) 624-2845
Entity
Organization
Contact information
Practice address
10180 RIVERSIDE DR, SUITE 9, PALM BEACH GARDENS, FL 33410-4880
(561) 624-2845
Mailing address
PO BOX 30038, PALM BEACH GARDENS, FL 33420-0038
(561) 624-2845
(561) 625-5386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8436
BLUE CROSS PROVIDER #
FL
Enumeration date
09/20/2006
Last updated
03/11/2010
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