Active NPI
Medical Supply Super Center
- Durable Medical Equipment & Medical Supplies
- Delray Beach, FL
National Provider Identifier
1013305374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDICAL SUPPLY SUPER CENTER
- Practice address
- 55 SE 2ND Ave
Suite 120
Delray Beach, FL 33444-3615 - Phone
- (561) 771-1713
- Fax
- (561) 245-8563
- NPI assigned
- Jan 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Anthony Amira
- Title
- President
- Phone
- (561) 771-1315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
55 SE 2ND Ave
Suite 120
Delray Beach, FL 33444-3615
Mailing address
55 SE 2ND Ave
Suite 120
Delray Beach, FL 33444-3615
Phone (561) 771-1713
National Provider Directory
National Provider DirectoryLocations
55 SE 2nd Ave
Ste 120
Delray Beach, FL 33444
Phone (561) 771-1713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1013305374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SE 2ND AVE",
"address_2": "SUITE 120",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334443615",
"telephone_number": "561-771-1713",
"fax_number": "561-245-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SE 2ND AVE",
"address_2": "SUITE 120",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334443615",
"telephone_number": "561-771-1713",
"fax_number": "561-245-8563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SUPPLY SUPER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "AMIRA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-771-1315",
"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": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.