Organization Active NPI

Promed Logistics LLC

  • Durable Medical Equipment & Medical Supplies
  • Davie, FL
National Provider Identifier
1427733732
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROMED LOGISTICS LLC
Practice address
2699 Stirling Rd Ste C306A
Davie, FL 33312-6564
Phone
(954) 526-3824
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Jorge Bencomo Castro
Title
Owner
Phone
(954) 526-3824

Specialties & licenses 1

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

Addresses

Primary practice location

2699 Stirling Rd Ste C306A
Davie, FL 33312-6564

Mailing address

2699 Stirling Rd Ste C306A
Davie, FL 33312-6564
Phone (954) 526-3824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1427733732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C306A",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333126564",
            "telephone_number": "954-526-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE C306A",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333126564",
            "telephone_number": "954-526-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "BENCOMO CASTRO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-526-3824"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.