Premier Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER MEDICAL SUPPLY, INC.

Practice address

1001 N US Highway 1
Suite 402
Jupiter, FL 33477-4482

Phone

(561) 252-1552

Fax

(561) 746-7383

NPI assigned

Oct 21, 2010

Last updated

Oct 21, 2010By 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. Carlos S Eliseo

Title

Principal

Phone

(561) 252-1552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1508176736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N US HIGHWAY 1",
            "address_2": "SUITE 402",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774482",
            "telephone_number": "561-252-1552",
            "fax_number": "561-746-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N US HIGHWAY 1",
            "address_2": "SUITE 402",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774482",
            "telephone_number": "561-252-1552",
            "fax_number": "561-746-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "ELISEO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "561-252-1552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Oct 21, 2010; 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.