Organization Active NPI

County Line Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hollywood, FL
National Provider Identifier
1043315559
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COUNTY LINE MEDICAL SUPPLY, INC.
Practice address
2514 Hollywood Blvd
200
Hollywood, FL 33020-6614
Phone
(954) 927-1842
Fax
(954) 927-1842
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Miguel A Castillo
Title
President
Phone
(954) 927-1842

Specialties & licenses 1

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

Addresses

Primary practice location

2514 Hollywood Blvd
200
Hollywood, FL 33020-6614

Mailing address

2514 Hollywood Blvd
200
Hollywood, FL 33020-6614
Phone (954) 927-1842

National Provider Directory

National Provider Directory

Locations

2514 Hollywood Blvd
Ste 200
Hollywood, FL 33020
Phone (954) 927-1842

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043315559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 HOLLYWOOD BLVD",
            "address_2": "200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206614",
            "telephone_number": "954-927-1842",
            "fax_number": "954-927-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 HOLLYWOOD BLVD",
            "address_2": "200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206614",
            "telephone_number": "954-927-1842",
            "fax_number": "954-927-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY LINE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-927-1842",
        "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 Hollywood, FL

Sources for this page

  • 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.