Independence Systems LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

L07000123055 Issued in FL

Legal business name

INDEPENDENCE SYSTEMS LLC

Practice address

908 Magnolia Ave
Auburndale, FL 33823-4008

Phone

(228) 257-6129

Fax

(863) 588-1594

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Marlene Miller Bryant

Title

President

Phone

(228) 257-6129

Specialties & licenses 1

Addresses

Other names 1

• Imdependence Mobility Doing business as

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1295903789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 575",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338230575",
            "telephone_number": "228-257-6129",
            "fax_number": "863-588-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 MAGNOLIA AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234008",
            "telephone_number": "228-257-6129",
            "fax_number": "863-588-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-257-6129",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "L07000123055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imdependence Mobility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Auburndale, FL
• Providers in Auburndale, 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 Feb 18, 2008; 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.