Active NPI
Aaa Medical Fabricators Corp
- Parenteral & Enteral Nutrition Supplies (DME)
- Apollo Beach, FL
National Provider Identifier
1568518033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 1312631
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0322873-00 | Medicaid | FL |
Other names 1
- AAA Medical Fabricators
National Provider Directory
National Provider DirectoryLocations
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.