Ochun Palmetto Bay Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OCHUN PALMETTO BAY MEDICAL SUPPLIES INC.

Practice address

170 33 South Dixie Hwy
Suite I
Palmetto Bay, FL 33157

Phone

(786) 303-8528

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Lisette Maciera

Title

Owner

Phone

(786) 303-8528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124055173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 33 SOUTH DIXIE HWY",
            "address_2": "SUITE I",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "33157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 33 SOUTH DIXIE HWY",
            "address_2": "SUITE I",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "33157",
            "telephone_number": "786-303-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHUN PALMETTO BAY MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACIERA",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-303-8528"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.