Everglades Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EVERGLADES MEDICAL SUPPLY INC

Practice address

750 E Sample Rd Ste 2-206
Pompano Beach, FL 33064-5136

Phone

(954) 532-1740

NPI assigned

Jul 8, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dante B Hines

Title

President

Phone

(954) 532-1740

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1053157230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD STE 2-206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645136",
            "telephone_number": "954-598-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD STE 2-206",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645136",
            "telephone_number": "954-532-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLADES MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-532-1740"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherena Etwaru
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• Aisha Zakia Evans
• Fernella Brown Evelyn, CBHT
• Everest Diagnostics LLC
• Evolution Health
• Claudia Ewald
• Karestin Lynn Ewen, BA
• Rose Mary Ewing, PA
• Exclusive Eyewear No. 2, LLC

• Durable Medical Equipment & Medical Supplies in Pompano Beach, FL
• Providers in Pompano 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 Aug 7, 2024; 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.