Allsource Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ALLSOURCE MEDICAL SUPPLY LLC

Practice address

2901 W Cypress Creek Rd Ste 102C
Fort Lauderdale, FL 33309-1730

Phone

(954) 766-4183

Fax

(954) 734-7302

NPI assigned

Jan 30, 2018

Last updated

Jan 6, 2021By 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

Harold McBean

Title

Owner

Phone

(954) 766-4183

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1386142800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 102C",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091730",
            "telephone_number": "954-766-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W CYPRESS CREEK RD STE 102C",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091730",
            "telephone_number": "954-766-4183",
            "fax_number": "954-734-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSOURCE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "MCBEAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-766-4183"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.