Organization Active NPI

Coast Med Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Oakland Park, FL
National Provider Identifier
1265094981
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COAST MED SUPPLIES LLC
Practice address
4101 N Andrews Ave Ste 101
Oakland Park, FL 33309-4769
Phone
(561) 577-3294
NPI assigned
Jul 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Authorized official

Name
Diana Perez
Title
Managing Member
Phone
(561) 577-3294

Specialties & licenses 1

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

Addresses

Primary practice location

4101 N Andrews Ave Ste 101
Oakland Park, FL 33309-4769

Mailing address

4101 N Andrews Ave Ste 101
Oakland Park, FL 33309-4769
Phone (561) 577-3294

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1265094981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N ANDREWS AVE STE 101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333094769",
            "telephone_number": "561-577-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 N ANDREWS AVE STE 101",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333094769",
            "telephone_number": "561-577-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST MED SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-577-3294"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; 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.