Organization Active NPI

Nationwide Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bunnell, FL
National Provider Identifier
1205312691
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NATIONWIDE MEDICAL SUPPLY, LLC
Practice address
501 N State St Ste 7
Bunnell, FL 32110-8015
Phone
(407) 808-8817
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Michael Comino
Title
Owner
Phone
(407) 808-8817

Specialties & licenses 1

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

Addresses

Primary practice location

501 N State St Ste 7
Bunnell, FL 32110-8015

Mailing address

501 N State St Ste 7
Bunnell, FL 32110-8015
Phone (407) 808-8817

National Provider Directory

National Provider Directory

Locations

501 N State St
Ste 7
Bunnell, FL 32110
Phone (407) 808-8817

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1205312691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N STATE ST STE 7",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321108015",
            "telephone_number": "407-808-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N STATE ST STE 7",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321108015",
            "telephone_number": "407-808-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "COMINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-808-8817"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunnell, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.