Provider Demographics
NPI:1871776187
Name:AC MEDICAL EXPRESS SERVICES INC
Entity type:Organization
Organization Name:AC MEDICAL EXPRESS SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-586-0661
Mailing Address - Street 1:2323 N STATE ST
Mailing Address - Street 2:#53
Mailing Address - City:BUNNELL
Mailing Address - State:FL
Mailing Address - Zip Code:32110-4394
Mailing Address - Country:US
Mailing Address - Phone:386-586-0661
Mailing Address - Fax:386-586-0062
Practice Address - Street 1:2323 NORTH STATE STREET
Practice Address - Street 2:#53
Practice Address - City:BUNNELL
Practice Address - State:FL
Practice Address - Zip Code:32110-7835
Practice Address - Country:US
Practice Address - Phone:386-586-0661
Practice Address - Fax:386-586-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6044200001Medicare NSC