Organization Active NPI

LMB Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Coral Springs, FL
National Provider Identifier
1134749484
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LMB MEDICAL SUPPLY LLC
Practice address
9600 W Sample Rd Ste 203
Coral Springs, FL 33065-4030
Phone
(954) 775-0307
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Authorized official

Name
Jason Matthew Bonaventura
Title
Owner
Phone
(954) 775-0307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

9600 W Sample Rd Ste 203
Coral Springs, FL 33065-4030

Mailing address

9600 W Sample Rd Ste 203
Coral Springs, FL 33065-4030
Phone (954) 775-0307

National Provider Directory

National Provider Directory

Locations

9600 W Sample Rd
Ste 203
Coral Springs, FL 33065
Phone (954) 775-0307

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1134749484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 W SAMPLE RD STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654030",
            "telephone_number": "954-775-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 W SAMPLE RD STE 203",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654030",
            "telephone_number": "954-775-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMB MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "BONAVENTURA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-775-0307"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.