Kevin Ross Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEVIN ROSS SUPPLY CORP

Practice address

15715 S Dixie Hwy
Suite 410
Miami, FL 33157-1800

Phone

(305) 232-2006

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Oneida Diaz Licea

Title

President

Phone

(305) 232-2006

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154482073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY",
            "address_2": "SUITE 410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571800",
            "telephone_number": "305-232-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY",
            "address_2": "SUITE 410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571800",
            "telephone_number": "305-232-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN ROSS SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LICEA",
        "authorized_official_first_name": "ONEIDA",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-232-2006"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neyda Ketchum, M.ED.,C.C.C.
• Keter Medical Center & Spa LLC
• Daniel H Kett, MD
• Kevin Family Home LLC
• Kevin Medical Services, Corp.
• Kevin Zasada PA
• Kevin'S Alf Corp
• Key Behavior Essentials
• Key Biscayne Medical Center Inc
• Yanisleidy Key Castellanos

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, 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 Aug 22, 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.