Provider Demographics
NPI:1124643044
Name:UAMEDSUPPLY
Entity type:Organization
Organization Name:UAMEDSUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARFAOUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-744-9901
Mailing Address - Street 1:1601 N PALM AVE STE 209C
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3241
Mailing Address - Country:US
Mailing Address - Phone:561-287-0737
Mailing Address - Fax:
Practice Address - Street 1:1601 N PALM AVE STE 209C
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3241
Practice Address - Country:US
Practice Address - Phone:561-287-0737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies