Radiance Medical Solutions, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RADIANCE MEDICAL SOLUTIONS, INC.

Practice address

19455 Gulf Blvd Ste 3a
Indian Shores, FL 33785-2000

Phone

(813) 381-3103

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Jonathan Tanner

Title

Owner

Phone

(813) 381-3103

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551484800000",
    "number": "1033696349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 GULF BLVD STE 3A",
            "city": "INDIAN SHORES",
            "state": "FL",
            "postal_code": "337852000",
            "telephone_number": "813-381-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 GULF BLVD STE 3A",
            "city": "INDIAN SHORES",
            "state": "FL",
            "postal_code": "337852000",
            "telephone_number": "813-381-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE MEDICAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2019-03-02",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-381-3103"
    },
    "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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• Durable Medical Equipment & Medical Supplies in Indian Shores, FL
• Providers in Indian Shores, 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 Mar 2, 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.