Florida Blvd Medical Supply Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

3765864-001 Issued in LA

Legal business name

FLORIDA BLVD MEDICAL SUPPLY INC.

Practice address

710 W Prien Lake Rd
108
Lake Charles, LA 70601-8349

Phone

(337) 479-0013

Fax

(337) 479-0014

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Prince N Oji, HEALTH PROFFESIONAL

Title

Admin Officer

Phone

(337) 479-0013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124173232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W PRIEN LAKE RD",
            "address_2": "108",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018349",
            "telephone_number": "337-479-0013",
            "fax_number": "337-479-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W PRIEN LAKE RD",
            "address_2": "108",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018349",
            "telephone_number": "337-479-0013",
            "fax_number": "337-479-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA BLVD MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OJI",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMIN OFFICER",
        "authorized_official_telephone_number": "337-479-0013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HEALTH PROFFESIONAL"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "3765864-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth D Fletcher III, MSN,APRN,ANP-C
• Sylvia Cherisse Fletcher
• Troy Emerson Fletcher, CFNP
• Stephen James Flood, M.D.
• Rachael Flores
• Crystal Flowers
• Angelica Antoinette Floyd
• J T Floyd, PA-C
• Courtney E Foch Labove, RD
• Bertrand Joseph Foch, MD

• Customized Equipment (DME) in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Customized Equipment (DME) in Louisiana

• 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.