Abacoa Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ABACOA SUPPLIES INC

Doing business as

Abacoa Supplies

Practice address

1155 Main St Ste 109
Jupiter, FL 33458-5264

Phone

(561) 500-3770

NPI assigned

Mar 21, 2024

Last updated

Jan 28, 2025By 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

Daniel Spivak

Title

Manager

Phone

(561) 630-3770

Specialties & licenses 1

Addresses

Other names 1

• Abacoa Supplies Doing business as

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1477313997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST UNIT 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322332623",
            "telephone_number": "561-630-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST STE 109",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585264",
            "telephone_number": "561-500-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABACOA SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "SPIVAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-630-3770"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abacoa Supplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abacoa Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.