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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 Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ATLANTIC MEDICAL SUPPLY, INC.

NPI # 1417949348
LBN Legal business name ATLANTIC MEDICAL SUPPLY, INC.
Authorized official WENDY RUSSALESI - (CCO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/17/2005
Last updated 10/12/2025 - About 8 months ago
Identifiers
FL License # 939 CERT 6417
FL Medicaid 011672700
FL Other R7606 BCBS PROVIDER NUMBER
FL Other 939 CERT 6417 DME LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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