Med-Source of Central Florida, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

2001 Issued in FL

Legal business name

MED-SOURCE OF CENTRAL FLORIDA, INC

Practice address

1495 S Volusia Ave
Suite 101
Orange City, FL 32763-7047

Phone

(386) 774-8900

Fax

(386) 774-2040

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Laurie Bowling

Title

Owner/President

Phone

(386) 774-8900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1104852995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE",
            "address_2": "SUITE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-774-8900",
            "fax_number": "386-774-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 S VOLUSIA AVE",
            "address_2": "SUITE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637047",
            "telephone_number": "386-774-8900",
            "fax_number": "386-774-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SOURCE OF CENTRAL FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "386-774-8900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Orange City, FL
• Providers in Orange City, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.