Norma L. Gary

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORMA L. GARY

Practice address

16770 S US 441
Ste 601
Summerfield, FL 34491

Phone

(352) 347-7855

Fax

(352) 347-7856

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Norma Lorraine Gary, ABC CERTIFICATION

Title

Owner/Certified Mastectomy Fitter

Phone

(352) 347-7855

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lingerie Boutique by Norma Former legal business name

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1306856687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16770 S US 441",
            "address_2": "STE 601",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "34491",
            "telephone_number": "352-347-7855",
            "fax_number": "352-347-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16770 S US 441",
            "address_2": "STE 601",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "34491",
            "telephone_number": "352-347-7855",
            "fax_number": "352-347-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA L. GARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER/CERTIFIED MASTECTOMY FITTER",
        "authorized_official_telephone_number": "352-347-7855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABC CERTIFICATION"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R6320",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lingerie Boutique by Norma",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Summerfield, FL
• Providers in Summerfield, 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 21, 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.