Organization Active NPI

Lion Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenacres, FL
National Provider Identifier
1356823926
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LION MEDICAL SUPPLY LLC
Practice address
3900 Woodlake Blvd Ste 206a
Greenacres, FL 33463-3010
Phone
(561) 653-1405
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Authorized official

Name
Mr. Luis Mitchell Perez
Title
Owner
Phone
(954) 675-0770

Specialties & licenses 1

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

Addresses

Primary practice location

3900 Woodlake Blvd Ste 206a
Greenacres, FL 33463-3010

Mailing address

3900 Woodlake Blvd Ste 206a
Greenacres, FL 33463-3010
Phone (561) 653-1405

National Provider Directory

National Provider Directory

Locations

3900 Woodlake Blvd
Ste 206A
Greenacres, FL 33463
Phone (561) 653-1405

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1356823926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WOODLAKE BLVD STE 206A",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633010",
            "telephone_number": "561-653-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WOODLAKE BLVD STE 206A",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633010",
            "telephone_number": "561-653-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LION MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-675-0770",
        "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": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.