Active NPI
Cristel Enterprises Co.
- Durable Medical Equipment & Medical Supplies
- Clearwater, FL
National Provider Identifier
1073954954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CRISTEL ENTERPRISES CO.
- Doing business as
- TLC Medical Supplies
- Practice address
- 2753 State Road 580
Clearwater, FL 33761-3355 - Phone
- (727) 444-0909
- Fax
- (877) 430-8889
- NPI assigned
- Jul 8, 2013
- 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
- Cristel Harden
- Title
- President
- Phone
- (727) 430-3581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2753 State Road 580
Clearwater, FL 33761-3355
Mailing address
112 Annwood Rd
Palm Harbor, FL 34685-1901
Phone (727) 430-3581
Other names 1
- TLC Medical Supplies
National Provider Directory
National Provider DirectoryLocations
2753 State Road 580
Clearwater, FL 33761
Phone (813) 464-0846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373241600000",
"number": "1073954954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ANNWOOD RD",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346851901",
"telephone_number": "727-430-3581",
"fax_number": "877-430-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2753 STATE ROAD 580",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613355",
"telephone_number": "727-444-0909",
"fax_number": "877-430-8889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRISTEL ENTERPRISES CO.",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-08",
"status": "A",
"authorized_official_last_name": "HARDEN",
"authorized_official_first_name": "CRISTEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-430-3581"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TLC Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.