Medmed 33313 Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDMED 33313 CORP

Practice address

8358 W Oakland Park Blvd Ste 203D
Sunrise, FL 33351-7341

Phone

(305) 559-8669

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Jesus M Reyes Fundora

Title

Owner/Authorized Officila

Phone

(954) 440-2919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1215716725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD STE 203D",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517341",
            "telephone_number": "954-440-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8358 W OAKLAND PARK BLVD STE 203D",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517341",
            "telephone_number": "305-559-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMED 33313 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "REYES FUNDORA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICILA",
        "authorized_official_telephone_number": "954-440-2919"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.