Active NPI
Subsecondllc
- Customized Equipment (DME)
- Niceville, FL
National Provider Identifier
1265320014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SUBSECONDLLC
- Practice address
- 200 Kelly Rd Ste 203
Niceville, FL 32578-1899 - Phone
- (850) 826-0112
- NPI assigned
- Jun 27, 2025
- Last updated
- Jul 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Thompson
- Title
- Owner/Founder
- Phone
- (850) 826-0112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
200 Kelly Rd Ste 203
Niceville, FL 32578-1899
Mailing address
200 Kelly Rd Ste 203
Niceville, FL 32578-1899
Phone (850) 826-0112
Other names 1
- Subsecondllc
National Provider Directory
National Provider DirectoryLocations
200 Kelly Rd
Ste 203
Niceville, FL 32578
Phone (850) 826-0112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753056000000",
"number": "1265320014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 KELLY RD STE 203",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781899",
"telephone_number": "850-826-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 KELLY RD STE 203",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781899",
"telephone_number": "850-826-0112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBSECONDLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-27",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER/FOUNDER",
"authorized_official_telephone_number": "850-826-0112"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Subsecondllc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.