National Provider Identifier Database

ATLANTIC MEDICAL SUPPLY INC
Oxygen Equipment & Supplies


Contact Information

ATLANTIC MEDICAL SUPPLY, INC.
1850 NW 122ND TER
PEMBROKE PINES, FL33026-1966
Phone: 305-269-0440
Fax: 305-269-0401
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for ATLANTIC MEDICAL SUPPLY, INC.

NPI Number 1417949348
Legal business name
LBN
ATLANTIC MEDICAL SUPPLY, INC.
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart Yes
Enumeration date 08/17/2005
Last updated 10/12/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 939 CERT 6417
  • FL Medicaid: 011672700
  • FL Other: R7606 BCBS PROVIDER NUMBER
  • FL Other: 939 CERT 6417 DME LICENSE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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