Advance Assist Medical Supply Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2380137148629 Issued in FL

Legal business name

ADVANCE ASSIST MEDICAL SUPPLY CORPORATION

Practice address

6595 NW 36TH St
Suite 220
Virginia Gardens, FL 33166-6979

Phone

(305) 871-8517

Fax

(305) 871-8518

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Osvaldo Camejo

Title

Owner

Phone

(305) 871-8517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265596423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 220",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-8517",
            "fax_number": "305-871-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 220",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "305-871-8517",
            "fax_number": "305-871-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE ASSIST MEDICAL SUPPLY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMEJO",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-871-8517"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2380137148629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Virginia Gardens, FL
• Providers in Virginia Gardens, 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 Aug 22, 2020; 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.