VT Medical Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VT MEDICAL CORP

Practice address

775 SW South Macedo Blvd
Port St Lucie, FL 34983-1806

Phone

(772) 812-4475

NPI assigned

Apr 9, 2024

Last updated

Apr 9, 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

Suresh Sukhraj

Title

Ceo

Phone

(772) 812-4475

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Umawattie Sukhraj

  • Durable Medical Equipment & Medical Supplies
  • Port St Lucie, FL
  • NPI 1669152963
  NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1063265965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SW SOUTH MACEDO BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831806",
            "telephone_number": "772-812-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SW SOUTH MACEDO BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831806",
            "telephone_number": "772-812-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VT MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "SUKHRAJ",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-812-4475"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Port St Lucie, FL
• Providers in Port St Lucie, 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 Apr 9, 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.