Superior Stores Discount Distributors, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

3201660 Issued in FL

Legal business name

SUPERIOR STORES DISCOUNT DISTRIBUTORS, INC.

Doing business as

Surgical World

Practice address

1751 N 68TH Ave
Hollywood, FL 33024-3958

Phone

(954) 983-6523

Fax

(954) 966-6770

NPI assigned

Apr 19, 2006

Last updated

Feb 27, 2012By 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

Mrs. Marjorie Helfan

Title

Secretary

Phone

(954) 983-6523

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• SURGICAL WORLD Doing business as

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1275598435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 N 68TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243958",
            "telephone_number": "954-983-6523",
            "fax_number": "954-966-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 N 68TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330243958",
            "telephone_number": "954-983-6523",
            "fax_number": "954-966-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR STORES DISCOUNT DISTRIBUTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "HELFAN",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "954-983-6523",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3201660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R7216",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677913198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951066400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "677913196",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURGICAL WORLD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.