Medical Express Depot LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL EXPRESS DEPOT LLC

Doing business as

provider

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

Last updated

Dec 8, 2020By 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

Iris SantiagoNPI 1235767203

Title

Owner

Phone

(407) 704-2673

Specialties & licenses 1

Addresses

Other names 2

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iris Santiago

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
  • NPI 1235767203
  Authorized official Same address or phone

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"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, 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 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.