Remway Port St Lucie, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

REMWAY PORT ST LUCIE, LLC

Practice address

525 NW Lake Whitney PL
Suite 102 BLDG P
Port St Lucie, FL 34986-1605

Phone

(772) 323-2661

Fax

(772) 323-2666

NPI assigned

Sep 10, 2008

Organization subpart

Yes

Parent organization

B.S.A.M. HOLDINGS INCAs reported in NPPES

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

Authorized official

Name

Mrs. Nicole Martina Mahabir-Herrera

Title

Director

Phone

(772) 323-2661

Specialties & licenses 2

Addresses

Part of

Bsam Holding Inc

Locations

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1073762431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NW LAKE WHITNEY PL",
            "address_2": "SUITE 102 BLDG P",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861605",
            "telephone_number": "772-323-2661",
            "fax_number": "772-323-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NW LAKE WHITNEY PL",
            "address_2": "SUITE 102 BLDG P",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861605",
            "telephone_number": "772-323-2661",
            "fax_number": "772-323-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMWAY PORT ST LUCIE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B.S.A.M. HOLDINGS INC",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MAHABIR-HERRERA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "772-323-2661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.