Active NPI
Mammon Evantuis LLC
- Durable Medical Equipment & Medical Supplies
- Tamarac, FL
National Provider Identifier
1073355384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MAMMON EVANTUIS LLC
- Practice address
- 5951 London Lee
Tamarac, FL 33321-4188 - Phone
- (000) 000-0000
- NPI assigned
- Jun 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Franklin Polis
- Title
- Office Manager
- Phone
- (307) 500-4200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
5951 London Lee
Tamarac, FL 33321-4188
Mailing address
5951 London Lee
Tamarac, FL 33321-4188
Phone (307) 500-4200
Other names 1
- MAMMON EVENTUS LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750118400000",
"number": "1073355384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5951 LONDON LEE",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214188",
"telephone_number": "307-500-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5951 LONDON LEE",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214188",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAMMON EVANTUIS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-07",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A",
"authorized_official_last_name": "POLIS",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "307-500-4200"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MAMMON EVENTUS LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MAMMON EVENTUS LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.