Organization
MATRIX MEDICAL LLC
Active
Parent organization
AEROCARE HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS LLC
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER)
(484) 246-9499
Entity
Organization
Contact information
Practice address
1201 ARAPAHO AVE STE A, ST AUGUSTINE, FL 32084-4204
(904) 829-1799
(904) 829-0549
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
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
—
015644300
—
FL
Enumeration date
05/17/2013
Last updated
10/15/2025
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