Citicare Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

P06000129372 Issued in FL

Legal business name

CITICARE MEDICAL SUPPLIES INC

Practice address

303 N Highway 27
C1
Minneola, FL 34715-7707

Phone

(352) 243-9777

Fax

(352) 243-9717

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Jennifer Creary

Title

President

Phone

(352) 243-9777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285705079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N HIGHWAY 27",
            "address_2": "C1",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347157707",
            "telephone_number": "352-243-9777",
            "fax_number": "352-243-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N HIGHWAY 27",
            "address_2": "C1",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347157707",
            "telephone_number": "352-243-9777",
            "fax_number": "352-243-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITICARE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREARY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-243-9777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "P06000129372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Minneola, FL
• Providers in Minneola, 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 Aug 22, 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.