Organization · NPI-2

Active Assist Dme, INC.

Durable Medical Equipment & Medical Supplies · Clearwater, FL

NPI number1679080063
StatusActive
Last updated in NPPESOct 12, 2018

Details

NPI
1679080063
Entity type
Organization (NPI-2)
Legal business name
Active Assist Dme, INC.
Organization subpart
No
Enumeration date
Jan 7, 2018
Last updated
Oct 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

14004 Roosevelt Blvd Ste 607
Clearwater, FL 33762-3819

Phone 727-351-7949

Mailing address

14004 Roosevelt Blvd Ste 607
Clearwater, FL 33762-3819

Phone 727-351-7949

Authorized official

Dean Zusmer
President
3053899040

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