Majestic Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAJESTIC MEDICAL SUPPLIES INC.

Practice address

6365 Taft St
3005
Hollywood, FL 33024-5952

Phone

(954) 987-1975

Fax

(954) 987-1355

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gregorio Gonzales

Title

Owner

Phone

(305) 298-7645

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083669014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 TAFT ST",
            "address_2": "3005",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245952",
            "telephone_number": "954-987-1975",
            "fax_number": "954-987-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 TAFT ST",
            "address_2": "3005",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245952",
            "telephone_number": "954-987-1975",
            "fax_number": "954-987-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-298-7645",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.