Organization
AAA MEDICAL FABRICATORS CORP
Active
Organization
AAA MEDICAL FABRICATORS CORP
Active
Other names
AAA Medical Fabricators
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L PFLUEGER (PRESIDENT)
(813) 944-7670
Entity
Organization
Contact information
Practice address
200 FRANDORSON CIR, APOLLO BEACH, FL 33572-2689
(813) 944-7670
(813) 419-4937
Mailing address
1006 SAGO PALM WAY, APOLLO BEACH, FL 33572-2004
(813) 944-7670
(813) 419-4937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312631
FL
332BC3200X
Customized Equipment (DME)
1312631
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
1312631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0322873-00
—
FL
Enumeration date
01/26/2007
Last updated
01/10/2012
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