Supreme Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUPREME MEDICAL SUPPLY LLC

Doing business as

Supreme Medical Supply

Practice address

1761 W Hillsboro Blvd Ste 325
Deerfield Beach, FL 33442-1562

Phone

(954) 378-8525

Fax

(954) 271-4464

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Robert Mays

Title

Owner

Phone

(954) 378-8525

Specialties & licenses 1

Addresses

Other names 1

• Supreme Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1033690094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 N UNIVERSITY DR # 443",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674602",
            "telephone_number": "954-803-1294",
            "fax_number": "954-271-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W HILLSBORO BLVD STE 325",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421562",
            "telephone_number": "954-378-8525",
            "fax_number": "954-271-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-378-8525"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supreme Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunrise Medical Wellness LLC
• David Suomela, D.O.M., A.P.
• Super Home Care LLC
• Superior Biologics Florida, Inc
• Tina M Suppi
• Surf Surgical Supply LLC
• Surplus Diabetic Inc
• Sussman Medical Associates Inc
• Barry Sussman, PSY.D.
• Jeffrey Edward Sussman, M.D.

• Durable Medical Equipment & Medical Supplies in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.