MD Health Source Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MD HEALTH SOURCE INC

Practice address

370 Camino Gardens Blvd Ste 210B
Boca Raton, FL 33432-5818

Phone

(800) 793-3122

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Michael Jon Dubois

Title

Owner

Phone

(800) 793-3122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1124635800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD STE 210B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325818",
            "telephone_number": "800-793-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CAMINO GARDENS BLVD STE 210B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325818",
            "telephone_number": "800-793-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTH SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-793-3122"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Mae McNally, LMHC
• Darci McNally, MSW, LCSW, OSW-C
• Brittany McNeil-Shepherd
• Denise June McNellis, LCSW
• Michelle McNulty, DPT
• MD Health Supply Inc
• MD Health Support LLC
• MD Healthcare Boca Raton LLC
• MD Medical Services
• MD Now Medical Centers Inc

• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.