Support Supply Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

70 Issued in FL

Legal business name

SUPPORT SUPPLY CO

Practice address

2115 W 60TH St
Hialeah, FL 33016-2616

Phone

(305) 827-2322

Fax

(305) 827-0081

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Odalys A Pardo

Title

President

Phone

(305) 827-2322

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1063406791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 W 60TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162616",
            "telephone_number": "305-827-2322",
            "fax_number": "305-827-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W 60TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162616",
            "telephone_number": "305-827-2322",
            "fax_number": "305-827-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "ODALYS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-827-2322"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "70",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3202292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hialeah, FL
• Providers in Hialeah, 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 Dec 5, 2007; 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.