Primary Choice Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIMARY CHOICE MEDICAL SUPPLIES LLC

Practice address

331 W Central Ave Ste 242
Winter Haven, FL 33880-2982

Phone

(800) 616-0327

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Shane Paul Camus, RN

Title

Manager / Owner

Phone

(800) 616-0327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1124568290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE B101",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "800-616-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W CENTRAL AVE STE 242",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802982",
            "telephone_number": "800-616-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CHOICE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "CAMUS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER / OWNER",
        "authorized_official_telephone_number": "800-616-0327",
        "authorized_official_credential": "RN"
    },
    "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 Jul 11, 2019; 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.