NPIMap

Organization Active NPI

Medical Express Depot LLC

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
National Provider Identifier
1235735002
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL EXPRESS DEPOT LLC
Practice address
11240 S Orange Blossom TRL # 11240
Orlando, FL 32837-9428
Phone
(407) 704-2673
Fax
(407) 704-2614
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Iris Santiago
Title
Owner
Phone
(407) 704-2673

Specialties & licenses 1

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

Addresses

Primary practice location

11240 S Orange Blossom TRL # 11240
Orlando, FL 32837-9428

Mailing address

11240 S Orange Blossom TRL # 11240
Orlando, FL 32837-9428
Phone (407) 704-2673

Other names 2

  • provider Doing business as
  • Medical Express Depot LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

11240 S Orange Blossom Trl
Orlando, FL 32837
Phone (407) 704-2673

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1235735002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 S ORANGE BLOSSOM TRL # 11240",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379428",
            "telephone_number": "407-704-2673",
            "fax_number": "407-704-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 S ORANGE BLOSSOM TRL # 11240",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379428",
            "telephone_number": "407-704-2673",
            "fax_number": "407-704-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EXPRESS DEPOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-704-2673"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "provider",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Express Depot LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.