Active NPI
Mid Florida Medical
- Durable Medical Equipment & Medical Supplies
- Leesburg, FL
National Provider Identifier
1457506495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MID FLORIDA MEDICAL
- Practice address
- 32641 Radio Rd
Suite 101
Leesburg, FL 34788-3978 - Phone
- (352) 728-1524
- Fax
- (352) 728-5142
- NPI assigned
- Nov 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Knight
- Title
- Owner
- Phone
- (800) 422-2612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
32641 Radio Rd
Suite 101
Leesburg, FL 34788-3978
Mailing address
32641 Radio Rd
Suite 101
Leesburg, FL 34788-3978
Phone (352) 728-1524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022645900 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Mid Florida Medical
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Orange City, FL
- NPI 1780839720
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1922253962
Locations
32641 Radio Rd
Ste 101
Leesburg, FL 34788
Phone (352) 728-1524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226966400000",
"number": "1457506495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32641 RADIO RD",
"address_2": "SUITE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347883978",
"telephone_number": "352-728-1524",
"fax_number": "352-728-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32641 RADIO RD",
"address_2": "SUITE 101",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347883978",
"telephone_number": "352-728-1524",
"fax_number": "352-728-5142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID FLORIDA MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-422-2612",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022645900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
- Michael V Durante DC PA
- Debra Lee Michaud, APRN
- Mid Florida Cardiovascular Anesthesia Associates PA
- Mid Florida Eye Center PA
- Mid Florida Hearing, LLC
- Mid Florida Primary Care PA
- Mid-Florida Pathology
- Mid-Florida Primary Care (The Center of Sleep Medicine)
- Mid-Florida Primary Care PA
- Marwan Mihyu, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.