M.B.M Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1312387 Issued in FL

Legal business name

M.B.M MEDICAL SUPPLY, INC

Practice address

6363 Taft St
Suite 311
Hollywood, FL 33024-5962

Phone

(954) 965-9173

Fax

(954) 965-9174

NPI assigned

Jun 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Berta Mejias

Title

Presidente

Phone

(954) 965-9173

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386671360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 TALFT STREET",
            "address_2": "SUITE 311",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-965-9173",
            "fax_number": "954-965-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 TAFT ST",
            "address_2": "SUITE 311",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330245962",
            "telephone_number": "954-965-9173",
            "fax_number": "954-965-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.B.M MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEJIAS",
        "authorized_official_first_name": "BERTA",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "954-965-9173",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roni Lynn, O.T. L
• James C Lyons, DDS
• Violetta Lyra, M.D.
• Orville Lyttle, BCBA
• M W Formisano MD PA
• M&S Compassionate Care LLC
• Tiffany Marie Mabin, OTR/L
• Thomas Henry Macaluso, M.D.
• Heydi Lianet Machado Benavides, RBT
• Aracely Machado Morales

• Durable Medical Equipment & Medical Supplies in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.