Affordable Medical & Dental Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2080154249098 Issued in FL

Legal business name

AFFORDABLE MEDICAL & DENTAL SUPPLY LLC

Practice address

1680 Dunn Ave Ste 5
Jacksonville, FL 32218-4788

Phone

(888) 727-3016

Fax

(888) 522-5943

NPI assigned

Jun 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Harold Gregory Polite

Title

Director of Amds

Phone

(888) 727-3016

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1164717831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE",
            "address_2": "5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184782",
            "telephone_number": "888-727-3016",
            "fax_number": "888-522-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184788",
            "telephone_number": "888-727-3016",
            "fax_number": "888-522-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE MEDICAL & DENTAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF AMDS",
        "authorized_official_telephone_number": "888-727-3016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2080154249098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Dentures & Implants - North Jacksonville III, P.a. (Affordable Dentures & Implants - North Jacksonville)
• Affordable Dentures & Implants - North Jacksonville IV, P.a.
• Affordable Dentures & Implants- North Jacksonville II, P.a.
• Affordable Dentures & Implants- North Jacksonville, P.a.
• Affordable Dentures-Jacksonville, P.a.
• Affordable Medical Equipment Solution
• Megan Afshari, PA-C
• Sohrab Afshari, M.D.
• Asma Aftimous
• Zain Afzal, MD

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.