Organization Active NPI

Aaa Medical Fabricators Corp

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Apollo Beach, FL
National Provider Identifier
1568518033
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
1312631 Issued in FL
Legal business name
AAA MEDICAL FABRICATORS CORP
Practice address
200 Frandorson Cir
Apollo Beach, FL 33572-2689
Phone
(813) 944-7670
Fax
(813) 419-4937
NPI assigned
Jan 26, 2007
Last updated
Jan 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Ms. Deborah L Pflueger
Title
President
Phone
(813) 944-7670

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312631 FL
Customized Equipment (DME) 332BC3200X 1312631 FL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1312631 FL Primary

Addresses

Primary practice location

200 Frandorson Cir
Apollo Beach, FL 33572-2689

Mailing address

1006 Sago Palm Way
Apollo Beach, FL 33572-2004
Phone (813) 944-7670

Other identifiers 1

IdentifierTypeStateIssuer
0322873-00MedicaidFL

Other names 1

  • AAA Medical Fabricators Other name

National Provider Directory

National Provider Directory

Locations

200 Frandorson Cir
Apollo Beach, FL 33572
Phone (813) 679-3845

9645 Palm River Rd
Tampa, FL 33619
Phone (813) 443-4736

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1568518033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 SAGO PALM WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722004",
            "telephone_number": "813-944-7670",
            "fax_number": "813-419-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRANDORSON CIR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722689",
            "telephone_number": "813-944-7670",
            "fax_number": "813-419-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA MEDICAL FABRICATORS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "PFLUEGER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-944-7670",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312631",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1312631",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "1312631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0322873-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AAA Medical Fabricators",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.