Acacia DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ACACIA DME LLC

Practice address

2101 Vista Pkwy Ste 133
West Palm Beach, FL 33411-2706

Phone

(954) 624-5392

NPI assigned

Nov 28, 2018

Last updated

Oct 1, 2019By 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

Keisha DME Suckie

Title

Owner

Phone

(954) 624-5392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1053881490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 133",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "954-624-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 VISTA PKWY STE 133",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334112706",
            "telephone_number": "954-624-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "SUCKIE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "DME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-624-5392"
    },
    "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 West Palm Beach, FL
• Providers in West Palm 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 1, 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.