South Florida Support Surfaces

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1312703 Issued in FL

Legal business name

SOUTH FLORIDA SUPPORT SURFACES

Practice address

892 Overbrook PL
West Palm Beach, FL 33413-1144

Phone

(561) 684-3990

Fax

(561) 684-3890

NPI assigned

Nov 13, 2006

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randy Paul Lundi, RN

Title

Owner

Phone

(561) 684-3990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1356412357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 OVERBROOK PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131144",
            "telephone_number": "561-684-3990",
            "fax_number": "561-684-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 OVERBROOK PL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131144",
            "telephone_number": "561-684-3990",
            "fax_number": "561-684-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SUPPORT SURFACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "LUNDI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-684-3990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031355600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Home Modification LLC
• South Florida Medical Centers, Inc (SFMC Group of West Palm Beach)
• South Florida Medical Store Inc
• South Florida Mobile Open MRI, LLC (Premier Diagnostic Imaging)
• South Florida Neuro Rehab, LLC
• South Florida Surgical Specialists, LLC
• South Florida Vision Services, Inc.
• South Ocean Recovery Inc.
• South Palm Beach Imaging
• Southern Florida Homecare, Inc (Happy at Home Care)

• Durable Medical Equipment & Medical Supplies in West Palm Beach, FL
• Providers in West Palm 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 Oct 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.