Organization Active NPI

MD Health Support LLC

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1336601079
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MD HEALTH SUPPORT LLC
Practice address
399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848
Phone
(800) 510-4812
NPI assigned
Apr 2, 2019
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Jonathan Grullon
Title
Owner
Phone
(800) 510-4812

Specialties & licenses 1

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

Addresses

Primary practice location

399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848

Mailing address

399 NW 2ND Ave Ste 214
Boca Raton, FL 33432-3848
Phone (800) 510-4812

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1336601079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE STE 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323848",
            "telephone_number": "800-510-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE STE 214",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323848",
            "telephone_number": "800-510-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTH SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "GRULLON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-510-4812"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.