Provider Demographics
NPI:1861719197
Name:AMERICAN SUPPLY & EQUIPMENT CORP.
Entity type:Organization
Organization Name:AMERICAN SUPPLY & EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:813-433-8277
Mailing Address - Street 1:PO BOX 10400
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33679-0400
Mailing Address - Country:US
Mailing Address - Phone:813-930-8827
Mailing Address - Fax:888-569-4961
Practice Address - Street 1:6802 N ARMENIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-5776
Practice Address - Country:US
Practice Address - Phone:813-930-8827
Practice Address - Fax:888-569-4961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies