Provider Demographics
NPI:1861712341
Name:APOLLO MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:APOLLO MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-938-5837
Mailing Address - Street 1:1312 APOLLO BEACH BLVD
Mailing Address - Street 2:STE J
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-3069
Mailing Address - Country:US
Mailing Address - Phone:813-938-5837
Mailing Address - Fax:
Practice Address - Street 1:1312 APOLLO BEACH BLVD
Practice Address - Street 2:STE J
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-3069
Practice Address - Country:US
Practice Address - Phone:813-938-5837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies