Organization
ABLE MEDICAL AIDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY SIMMONS (SEC/TREASURER)
(727) 586-2995
Entity
Organization
Contact information
Practice address
1280 MISSOURI AVE N, LARGO, FL 33770-1849
(727) 586-2995
(727) 588-0899
Mailing address
1280 MISSOURI AVE N, LARGO, FL 33770-1849
(727) 586-2995
(727) 588-0899
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027843200
—
FL
01
—
671172396
MEDICAID WAIVER
FL
01
—
R2171
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
08/07/2014
Last updated
09/09/2014
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