Phenomenal Care Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHENOMENAL CARE MEDICAL SUPPLIES LLC

Practice address

7628 N 56TH St Ste 16
Tampa, FL 33617-7732

Phone

(689) 286-0383

NPI assigned

Jun 2, 2023

Organization subpart

No

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

Authorized official

Name

Mohamed Said Moham Aboelfadel

Title

Owner

Phone

(689) 286-0383

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1295429363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7628 N 56TH ST STE 16",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7628 N 56TH ST STE 16",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177732",
            "telephone_number": "689-286-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL CARE MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "ABOELFADEL",
        "authorized_official_first_name": "MOHAMED SAID MOHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "689-286-0383"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammie L Phelan, PHYSICIAN ASSISTANT
• Anid Orbezo Phelps, MD
• Eileen Anne Phelps, LMHC
• Kimberly Phelps, DMD
• Phemmy Ventures Inc
• Robert Gerard Philbin, CRNA
• Philip Stromquist MD PA
• Benjamin Philip
• Daniella Philip
• Rayna Philip

• Durable Medical Equipment & Medical Supplies in Tampa, FL
• Providers in Tampa, 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 Jun 2, 2023; 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.