NPIMap

Organization Active NPI

Medical Equipment and Supplies of America LLC

  • Durable Medical Equipment & Medical Supplies
  • West Melbourne, FL
National Provider Identifier
1457720575
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1313895 Issued in FL
Legal business name
MEDICAL EQUIPMENT AND SUPPLIES OF AMERICA LLC
Practice address
4301 Fortune PL
Suites H & J
West Melbourne, FL 32904-1510
Phone
(321) 821-4535
Fax
(866) 727-2399
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Mr. Jeff Cleveland
Title
Ceo
Phone
(727) 851-9880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313895 FL Primary

Addresses

Primary practice location

4301 Fortune PL
Suites H & J
West Melbourne, FL 32904-1510

Mailing address

11601 56TH CT N
Clearwater, FL 33760-4805
Phone (727) 851-9880

National Provider Directory

National Provider Directory
Tax ID family
Medical Equipment and Supplies of America LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1457720575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 56TH CT N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337604805",
            "telephone_number": "727-851-9880",
            "fax_number": "866-727-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 FORTUNE PL",
            "address_2": "SUITES H & J",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041510",
            "telephone_number": "321-821-4535",
            "fax_number": "866-727-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EQUIPMENT AND SUPPLIES OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-851-9880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.