Certified Medical Systems III Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1678 Issued in FL

Legal business name

CERTIFIED MEDICAL SYSTEMS III INC

Practice address

2600 US Highway 1 S
Unit 1
St Augustine, FL 32086-6199

Phone

(904) 810-9747

Fax

(904) 810-9740

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Dillman

Title

Vice President

Phone

(904) 272-3022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1144325986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 US HIGHWAY 1 S",
            "address_2": "UNIT 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866199",
            "telephone_number": "904-810-9747",
            "fax_number": "904-810-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 US HIGHWAY 1 S",
            "address_2": "UNIT 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866199",
            "telephone_number": "904-810-9747",
            "fax_number": "904-810-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED MEDICAL SYSTEMS III INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-272-3022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025575100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in St Augustine, FL
• Providers in St Augustine, 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 Dec 21, 2011; 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.