Organization Active NPI

Latitude North Corporation

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1447787601
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LATITUDE NORTH CORPORATION
Practice address
333 Las Olas Way Apt 3504
Fort Lauderdale, FL 33301-2392
Phone
(914) 662-9012
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Adam Kalkowsky
Title
MGR
Phone
(914) 662-9012

Specialties & licenses 1

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

Addresses

Primary practice location

333 Las Olas Way Apt 3504
Fort Lauderdale, FL 33301-2392

Mailing address

333 Las Olas Way Apt 3504
Fort Lauderdale, FL 33301-2392

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1447787601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY APT 3504",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAS OLAS WAY APT 3504",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012392",
            "telephone_number": "914-662-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATITUDE NORTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "KALKOWSKY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "914-662-9012"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "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 Jan 28, 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.