Organization Active NPI

MD Medical Consultant LLC

  • Durable Medical Equipment & Medical Supplies
  • Longwood, FL
National Provider Identifier
1093328569
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MD MEDICAL CONSULTANT LLC
Practice address
725 S Ronald Reagan Blvd Ste 105
Longwood, FL 32750-6427
Phone
(321) 330-7865
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Peter M Santimu
Title
Ceo
Phone
(321) 330-7865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

725 S Ronald Reagan Blvd Ste 105
Longwood, FL 32750-6427

Mailing address

725 S Ronald Reagan Blvd Ste 105
Longwood, FL 32750-6427

National Provider Directory

National Provider Directory

Locations

725 S Ronald Reagan Blvd
Ste 105
Longwood, FL 32750
Phone (321) 330-7865

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1093328569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S RONALD REAGAN BLVD STE 105",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S RONALD REAGAN BLVD STE 105",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506427",
            "telephone_number": "321-330-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD MEDICAL CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "SANTIMU",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-330-7865"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.