Organization Active NPI

Surplus Diabetic Inc

  • Durable Medical Equipment & Medical Supplies
  • Deerfield Beach, FL
National Provider Identifier
1033626684
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SURPLUS DIABETIC INC
Practice address
265 S Federal Hwy
Suite 280
Deerfield Beach, FL 33441
Phone
(954) 204-0817
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Authorized official

Name
Haviv Cohen
Title
President
Phone
(954) 204-0817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

265 S Federal Hwy
Suite 280
Deerfield Beach, FL 33441

Mailing address

265 S Federal Hwy
280
Deerfield Beach, FL 33441-4161
Phone (954) 204-0817

National Provider Directory

National Provider Directory

Locations

265 S Federal Hwy
Deerfield Beach, FL 33441
Phone (276) 224-2043

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1033626684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S FEDERAL HWY",
            "address_2": "280",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334414161",
            "telephone_number": "954-204-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S FEDERAL HWY",
            "address_2": "SUITE 280",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33441",
            "telephone_number": "954-204-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPLUS DIABETIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "HAVIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-204-0817"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.