Deerfield Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DEERFIELD MEDICAL SUPPLY CORP

Practice address

9800 SE 163Rd LN
Summerfield, FL 34491-5948

Phone

(916) 212-9987

Fax

(888) 962-6462

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By 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

Mr. Alfear Wright

Title

President

Phone

(916) 212-9987

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1487439634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956400057",
            "telephone_number": "916-212-9987",
            "fax_number": "888-962-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SE 163RD LN",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344915948",
            "telephone_number": "916-212-9987",
            "fax_number": "888-962-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ALFEAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-212-9987",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uyen K. Dao, D.P.M
• Ashley Ellis Davis, FNP
• Michelle Lynn Davis
• Mariana De Jongh-Beyer, MD
• Dahiana Eulalia De la Rosa Sanchez, APRN
• Siroj Dejhansathit, MD
• Fariborz Delbakhsh, M.D.
• Raymond Anthony Demascio, FNP, APRN-C
• Onsi N Derias, PT
• Sheila R Dickerman, PA

• Durable Medical Equipment & Medical Supplies in Summerfield, FL
• Providers in Summerfield, 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 Aug 28, 2023; 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.