Organization
ATLANTIS PRO MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO AGUERA (C.F.O)
(305) 477-5430
Entity
Organization
Contact information
Practice address
8215 NW 64TH ST, BAY 2, MIAMI, FL 33166-2767
(877) 477-2764
(877) 276-5431
Mailing address
8215 NW 64TH ST, BAY 2, MIAMI, FL 33166-2767
(877) 477-2764
(877) 276-5431
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1928
FL
335E00000X
Prosthetic/Orthotic Supplier
ORF 122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M2648
BCBSFL
FL
Enumeration date
08/18/2005
Last updated
09/11/2025
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