Organization
AAA DISCOUNT MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKIE LANE (PRESIDENT)
(561) 893-9670
Entity
Organization
Contact information
Practice address
5471 N DIXIE HWY, #8, BOCA RATON, FL 33487-4905
(561) 893-9670
(561) 893-9669
Mailing address
5471 N DIXIE HWY, #8, BOCA RATON, FL 33487-4905
(561) 893-9670
(561) 893-9669
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
691-226500
MEDICAID WAIVER
FL
Enumeration date
09/17/2010
Last updated
09/17/2010
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