Organization Active NPI

Vital Medical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
National Provider Identifier
1356962559
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITAL MEDICAL INC.
Practice address
3350 NW 2ND Ave Ste a-46C
Boca Raton, FL 33431-6675
Phone
(561) 486-8787
Fax
(561) 486-8787
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Jessica Rodriguez
Title
Owner
Phone
(561) 486-8787

Specialties & licenses 1

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

Addresses

Primary practice location

3350 NW 2ND Ave Ste a-46C
Boca Raton, FL 33431-6675

Mailing address

3350 NW 2ND Ave Ste a-46C
Boca Raton, FL 33431-6675
Phone (561) 486-8787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1356962559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVE STE A-46C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316675",
            "telephone_number": "561-486-8787",
            "fax_number": "561-486-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 NW 2ND AVE STE A-46C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316675",
            "telephone_number": "561-486-8787",
            "fax_number": "561-486-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-486-8787"
    },
    "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 Jul 8, 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.