NPIMap

Organization Active NPI

Healthcon Direct LLC

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1114430618
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEALTHCON DIRECT LLC
Practice address
2005 Pan Am Circle Drive
270
Tampa, FL 33607-3360
Phone
(813) 748-0698
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Mr. Alec Fernandez
Title
Owner
Phone
(813) 748-0698

Specialties & licenses 1

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

Addresses

Primary practice location

2005 Pan Am Circle Drive
270
Tampa, FL 33607-3360

Mailing address

2005 Pan Am Circle Drive
270
Tampa, FL 33607
Phone (813) 748-0698

National Provider Directory

National Provider Directory

Locations

2005 Pan Am Cir
Ste 270
Tampa, FL 33607
Phone (352) 405-1992

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1114430618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PAN AM CIRCLE DRIVE",
            "address_2": "270",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-748-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PAN AM CIRCLE DRIVE",
            "address_2": "270",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336073360",
            "telephone_number": "813-748-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCON DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ALEC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-748-0698",
        "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": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.