Organization
AFFORDABLE MEDICAL EQUIPMENT SOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MADHU M MATHEW (CEO)
(803) 936-9376
Entity
Organization
Contact information
Practice address
6930 BONNEVAL RD, SUITE 3, JACKSONVILLE, FL 32216-6012
(904) 674-2100
(904) 674-2105
Mailing address
3223 SUNSET BLVD, SUITE 104, WEST COLUMBIA, SC 29169-3200
(803) 936-9376
(803) 936-9872
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312127
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
326736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271000
AMERIGROUP
FL
01
—
R9571
BCBS
FL
Enumeration date
09/26/2005
Last updated
06/24/2011
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