Organization
ATLANTIC MEDICAL INC
Active
Parent organization
AEROCARE HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
STEPHE GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
532 WILBORN AVE, SOUTH BOSTON, VA 24592-3120
(434) 572-1853
(434) 572-1934
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 206-0040
(407) 206-0010
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010198682
—
VA
01
—
181047
ANTHEM
VA
Enumeration date
10/03/2006
Last updated
03/12/2018
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