Organization Active NPI

Mt Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1104441831
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MT MEDICAL SUPPLIES LLC
Practice address
3350 NW 2ND Ave Ste A34
Boca Raton, FL 33431-6678
Phone
(561) 486-9346
Fax
(561) 486-9126
NPI assigned
Jun 9, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Thomas KuenzlerNPI 1114651668
Title
Managing Partner
Phone
(561) 843-6847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3350 NW 2ND Ave Ste A34
Boca Raton, FL 33431-6678

Mailing address

3350 NW 2ND Ave Ste A34
Boca Raton, FL 33431-6678
Phone (561) 843-6847

National Provider Directory

National Provider Directory

Locations

3350 NW 2nd Ave
Ste A34
Boca Raton, FL 33431
Phone (561) 486-9346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1104441831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVE STE A34",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316678",
            "telephone_number": "561-843-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVE STE A34",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316678",
            "telephone_number": "561-486-9346",
            "fax_number": "561-486-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "KUENZLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-843-6847"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.