Organization
ADVANCE MEDEQUIP, INC.
Active
Other names
Advance Medequip
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN ROTENBERG (PRESIDENT)
(866) 404-6633
Entity
Organization
Contact information
Practice address
333 GORDON ST, SANFORD, FL 32771-6325
(866) 404-6633
(866) 504-6633
Mailing address
333 GORDON ST, SANFORD, FL 32771-6325
(866) 404-6633
(866) 504-6633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001768800
—
FL
01
—
1313318
AHCA
FL
05
—
430009200
—
MD
Enumeration date
01/27/2007
Last updated
06/30/2010
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