Organization Active NPI

Palm Medical Supply Corp

  • Customized Equipment (DME)
  • Naples, FL
National Provider Identifier
1386644888
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1170 Issued in FL
Legal business name
PALM MEDICAL SUPPLY CORP
Practice address
411 9TH St N
Naples, FL 34102-5806
Phone
(239) 262-6592
Fax
(239) 262-8663
NPI assigned
Jul 26, 2005
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mr. John P Atkinson
Title
President
Phone
(239) 262-6592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1170 FL Primary

Addresses

Primary practice location

411 9TH St N
Naples, FL 34102-5806

Mailing address

411 9TH St N
Naples, FL 34102-5806
Phone (239) 262-6592

National Provider Directory

National Provider Directory

Locations

411 Tamiami Trl N
Naples, FL 34102
Phone (239) 262-6592

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1386644888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 9TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025806",
            "telephone_number": "239-262-6592",
            "fax_number": "239-262-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 9TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025806",
            "telephone_number": "239-262-6592",
            "fax_number": "239-262-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-262-6592",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.