Active NPI
Otb Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Fort Lauderdale, FL
National Provider Identifier
1124735600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OTB MEDICAL SUPPLIES LLC
- Practice address
- 2005 W Cypress Creek Rd Ste 104a
Fort Lauderdale, FL 33309-1835 - Phone
- (954) 529-5891
- NPI assigned
- Nov 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Montoya
- Title
- Owner
- Phone
- (954) 529-5891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2005 W Cypress Creek Rd Ste 104a
Fort Lauderdale, FL 33309-1835
Mailing address
2005 W Cypress Creek Rd Ste 104a
Fort Lauderdale, FL 33309-1835
Phone (954) 529-5891
National Provider Directory
National Provider DirectoryLocations
2005 W Cypress Creek Rd
Ste 104A
Fort Lauderdale, FL 33309
Phone (954) 529-5891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667433600000",
"number": "1124735600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 W CYPRESS CREEK RD STE 104A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091835",
"telephone_number": "954-529-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W CYPRESS CREEK RD STE 104A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091835",
"telephone_number": "954-529-5891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OTB MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A",
"authorized_official_last_name": "MONTOYA",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-529-5891"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.