Organization Active NPI

Paradise Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Cape Coral, FL
National Provider Identifier
1477019776
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PARADISE MEDICAL SUPPLY INC
Practice address
4720 SE 15TH Ave Ste 206
Cape Coral, FL 33904-9600
Phone
(239) 984-2860
Fax
(239) 984-5189
NPI assigned
Feb 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Javier E Cabalo Tudela
Title
President
Phone
(239) 984-5189

Specialties & licenses 1

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

Addresses

Primary practice location

4720 SE 15TH Ave Ste 206
Cape Coral, FL 33904-9600

Mailing address

4720 SE 15TH Ave Ste 206
Cape Coral, FL 33904-9600
Phone (239) 984-2860

Other practice location 1

1617 Santa Barbara Blvd Ste 6
Cape Coral, FL 33991-3445
Phone (239) 984-2860

National Provider Directory

National Provider Directory

Locations

4720 SE 15th Ave
Ste 206
Cape Coral, FL 33904
Phone (239) 984-2860

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1477019776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 SE 15TH AVE STE 206",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049600",
            "telephone_number": "239-984-2860",
            "fax_number": "239-984-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 SE 15TH AVE STE 206",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339049600",
            "telephone_number": "239-984-2860",
            "fax_number": "239-984-5189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1617 Santa Barbara Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339913445",
            "country_code": "US",
            "telephone_number": "239-984-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "CABALO TUDELA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-984-5189"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.