Active NPI
Vital Medical Supplies Inc.
- Durable Medical Equipment & Medical Supplies
National Provider Identifier
1366703217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VITAL MEDICAL SUPPLIES INC.
- Practice address
- 15340 Jog Road
Suite 100
Delray Beach, FLORIDA 33486
UM - Phone
- (561) 865-2382
- Fax
- (888) 519-4236
- NPI assigned
- Jun 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Benson
- Title
- Ceo, Official
- Phone
- (561) 865-2382
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
15340 Jog Road
Suite 100
Delray Beach, FLORIDA 33486
UM
Mailing address
15340 Jog Rd
Suite 100
Delray Beach, FL 33446-2170
Phone (561) 865-2382
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1174645121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365984000000",
"number": "1366703217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15340 JOG RD",
"address_2": "SUITE 100",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334462170",
"telephone_number": "561-865-2382",
"fax_number": "888-519-4236"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "15340 JOG ROAD",
"address_2": "SUITE 100",
"city": "DELRAY BEACH",
"state": "FLORIDA",
"postal_code": "33486",
"telephone_number": "561-865-2382",
"fax_number": "888-519-4236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL MEDICAL SUPPLIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-06",
"last_updated": "2013-04-15",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO, OFFICIAL",
"authorized_official_telephone_number": "561-865-2382",
"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": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.