Organization Active NPI

Shelly Medical Supply, Corp.

  • Oxygen Equipment & Supplies (DME)
  • Miami, FL
National Provider Identifier
1205835311
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SHELLY MEDICAL SUPPLY, CORP.
Practice address
9745 SW 72ND St
Ste 125/7
Miami, FL 33173-4652
Phone
(305) 274-8174
Fax
(305) 274-8173
NPI assigned
Jul 20, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Araceli Sosa
Title
President
Phone
(305) 274-8174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X FL Primary

Addresses

Primary practice location

9745 SW 72ND St
Ste 125/7
Miami, FL 33173-4652

Mailing address

9745 SW 72ND St
Ste 125/7
Miami, FL 33173-4652
Phone (305) 274-8174

National Provider Directory

National Provider Directory

Locations

9745 SW 72nd St
Ste 1257
Miami, FL 33173
Phone (305) 274-8174

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205835311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 SW 72ND ST",
            "address_2": "STE 125/7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734652",
            "telephone_number": "305-274-8174",
            "fax_number": "305-274-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 SW 72ND ST",
            "address_2": "STE 125/7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734652",
            "telephone_number": "305-274-8174",
            "fax_number": "305-274-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY MEDICAL SUPPLY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "ARACELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-274-8174"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.