| Organization Name: | AMERICOAST MARYLAND LLC |
| NPI Number: | 1154434819 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN M GVODAS (PRESIDENT) |
| Mailing Address: | 9321 Philadelphia Rd Suite K-l Rosedale |
| State: | MD US |
| Postal Code: | 212374100 |
| Phone Number: | 4109180616 |
| Fax Number: | 4109180633 |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | D01734 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |