4700 Servi Med Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

4700 SERVI MED CORP.

Practice address

4700 N Hiatus Rd Ste 151C
Sunrise, FL 33351-7904

Phone

(954) 368-4191

NPI assigned

Apr 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Caleb Espinoza

Title

President

Phone

(954) 368-4191

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1003470600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HIATUS RD STE 151C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517904",
            "telephone_number": "954-368-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HIATUS RD STE 151C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517904",
            "telephone_number": "954-368-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4700 SERVI MED CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-368-4191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.