Avatar Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1313375 Issued in FL

Legal business name

AVATAR MEDICAL SUPPLY INC

Practice address

211 E 4TH Ave
Hialeah, FL 33010-4907

Phone

(305) 884-1915

Fax

(305) 884-1913

NPI assigned

Apr 17, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sergio Toledo

Title

President

Phone

(305) 884-1915

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1457577967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104907",
            "telephone_number": "305-884-1915",
            "fax_number": "305-884-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104907",
            "telephone_number": "305-884-1915",
            "fax_number": "305-884-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-884-1915"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313375",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "32 6579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hialeah, FL
• Providers in Hialeah, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.