Med King Supplies Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NOT REQ 4 THIS TYPE Issued in FL

Legal business name

MED KING SUPPLIES CORP.

Practice address

6595 NW 36TH St
Suite 320a
Virginia Gardens, FL 33166-6979

Phone

(786) 265-0324

Fax

(786) 265-0877

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Gilberto Sobredo-Guerra

Title

President

Phone

(786) 265-0324

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053472258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 320A",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "786-265-0324",
            "fax_number": "786-265-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 320A",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "786-265-0324",
            "fax_number": "786-265-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED KING SUPPLIES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOBREDO-GUERRA",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-265-0324"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "NOT REQ 4  THIS TYPE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Virginia Gardens, FL
• Providers in Virginia Gardens, 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 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.