Provider Demographics
NPI:1972761930
Name:A & M MEDICAL INC
Entity type:Organization
Organization Name:A & M MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYLON
Authorized Official - Middle Name:
Authorized Official - Last Name:OPIE
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:727-796-5891
Mailing Address - Street 1:2531 FRISCO DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3821
Mailing Address - Country:US
Mailing Address - Phone:727-796-5891
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:2531 FRISCO DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3821
Practice Address - Country:US
Practice Address - Phone:727-796-5891
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty