The Good Shepherd Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE GOOD SHEPHERD MEDICAL EQUIPMENT LLC

Practice address

3080 E Bay Dr
Suite 400B
Largo, FL 33771-2692

Phone

(727) 807-6969

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Elijah Demetrius

Title

Ceo

Phone

(727) 807-6969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1174960447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 RIDGE RD",
            "address_2": "STE 4",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 E BAY DR",
            "address_2": "SUITE 400B",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712692",
            "telephone_number": "727-807-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GOOD SHEPHERD MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "DEMETRIUS",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-807-6969"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Largo, FL
• Providers in Largo, 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 Feb 22, 2017; 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.