Equal Life Medical Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EQUAL LIFE MEDICAL SERVICES, LLC

Practice address

9420 Lazy LN
Unit a-14
Tampa, FL 33614-1593

Phone

(239) 265-5164

NPI assigned

Apr 10, 2013

Last updated

May 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Jemima Bardette

Title

Ceo

Phone

(239) 265-5164

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1235572041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 LAZY LN",
            "address_2": "UNIT A-14",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141593",
            "telephone_number": "239-265-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 LAZY LN",
            "address_2": "UNIT A-14",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141593",
            "telephone_number": "239-265-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUAL LIFE MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "BARDETTE",
        "authorized_official_first_name": "JEMIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-265-5164",
        "authorized_official_name_prefix": "Miss"
    },
    "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 Tampa, FL
• Providers in Tampa, 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 May 13, 2013; 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.