Floridian Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

32:03457 Issued in FL

Legal business name

FLORIDIAN MEDICAL SUPPLY, INC.

Practice address

1140 NE 163Rd St
23
North Miami Beach, FL 33162-4517

Phone

(305) 944-1223

Fax

(305) 944-1223

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Juan Pablo Dimmer

Title

President

Phone

(305) 944-1223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023127115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 NE 163RD ST",
            "address_2": "23",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624517",
            "telephone_number": "305-944-1223",
            "fax_number": "305-944-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 NE 163RD ST",
            "address_2": "23",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624517",
            "telephone_number": "305-944-1223",
            "fax_number": "305-944-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMMER",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-944-1223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "32:03457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.