Affordable Medical Equipment Solution

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

326736 Issued in FL

Legal business name

AFFORDABLE MEDICAL EQUIPMENT SOLUTION

Practice address

6930 Bonneval Rd
Suite 3
Jacksonville, FL 32216-6012

Phone

(904) 674-2100

Fax

(904) 674-2105

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Madhu M Mathew

Title

Ceo

Phone

(803) 936-9376

Specialties & licenses 2

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Esteemcare Inc

  • Oxygen Equipment & Supplies (DME)
  • West Columbia, SC
  • NPI 1679527212

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Esteemcare Inc

  • Oxygen Equipment & Supplies (DME)
  • West Columbia, SC
  • NPI 1679527212

  Member Of

  NPD member

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1386630200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 SUNSET BLVD",
            "address_2": "SUITE 104",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693200",
            "telephone_number": "803-936-9376",
            "fax_number": "803-936-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 BONNEVAL RD",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166012",
            "telephone_number": "904-674-2100",
            "fax_number": "904-674-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE MEDICAL EQUIPMENT SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "MADHU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-936-9376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312127",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "326736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "271000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R9571",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.