Organization Active NPI

Durable Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1336157825
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312521AHCA Issued in FL
Legal business name
DURABLE MEDICAL EQUIPMENT INC
Practice address
2717 E Oakland Park Blvd
Ste 202
Fort Lauderdale, FL 33306
Phone
(954) 561-5010
Fax
(954) 561-5210
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Shannon Richard Moulton
Title
Vice President
Phone
(954) 561-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312521AHCA FL Primary

Addresses

Primary practice location

2717 E Oakland Park Blvd
Ste 202
Fort Lauderdale, FL 33306

Mailing address

2717 E Oakland Park Blvd
Ste 202
Fort Lauderdale, FL 33306
Phone (954) 561-5010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336157825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND PARK BLVD",
            "address_2": "STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-561-5010",
            "fax_number": "954-561-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND PARK BLVD",
            "address_2": "STE 202",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33306",
            "telephone_number": "954-561-5010",
            "fax_number": "954-561-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURABLE MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-561-5010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312521AHCA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • 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.