Medico Beaches LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICO BEACHES LLC

Practice address

1015 Atlantic Blvd Ste 469
Atlantic Beach, FL 32233-3313

Phone

(682) 237-9811

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Chuck Lanza

Title

Principal

Phone

(682) 237-9811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1326547621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 ATLANTIC BLVD STE 469",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "682-237-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 ATLANTIC BLVD STE 469",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333313",
            "telephone_number": "682-237-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO BEACHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "682-237-9811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amantha Massey-McLaughlin
• May Flowers ABA, Inc.
• David Michael McCann, DDS
• Derick McElveen Jr., PHARMD
• Medical Auto Transport LLC
• Memory Doc
• Mark Allen Messinese, MD
• Migun of the Beaches
• Stephanie Mimms, OTR/L
• Matthew Modansky, M.D.

• Durable Medical Equipment & Medical Supplies in Atlantic Beach, FL
• Providers in Atlantic Beach, 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 2, 2018; 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.