Broward Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BROWARD MEDICAL SUPPLY LLC

Practice address

29 N Federal Hwy Unit B
Hallandale Beach, FL 33009-4338

Phone

(954) 367-7190

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Oren Gershgorin

Title

Owner

Phone

(305) 713-3859

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1104417047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N FEDERAL HWY UNIT B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094338",
            "telephone_number": "954-367-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N FEDERAL HWY UNIT B",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094338",
            "telephone_number": "954-367-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "GERSHGORIN",
        "authorized_official_first_name": "OREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-713-3859"
    },
    "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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• Durable Medical Equipment & Medical Supplies in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.