Organization Active NPI

KD Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1437385283
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KD MEDICAL SUPPLY
Practice address
1385 SW 24TH Ave
Fort Lauderdale, FL 33312-4068
Phone
(954) 765-6984
Fax
(954) 765-6910
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Ms. Kelly Furelos
Title
President
Phone
(954) 765-6984

Specialties & licenses 1

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

Addresses

Primary practice location

1385 SW 24TH Ave
Fort Lauderdale, FL 33312-4068

Mailing address

1385 SW 24TH Ave
Fort Lauderdale, FL 33312-4068
Phone (954) 765-6984

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1437385283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 SW 24TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124068",
            "telephone_number": "954-765-6984",
            "fax_number": "954-765-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 SW 24TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333124068",
            "telephone_number": "954-765-6984",
            "fax_number": "954-765-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "FURELOS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-765-6984",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.