Organization Active NPI

Diversified Specialties

  • Durable Medical Equipment & Medical Supplies
  • Micco, FL
National Provider Identifier
1508992777
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIVERSIFIED SPECIALTIES
Practice address
8000 Ron Beatty Blvd
Suite a-3
Micco, FL 32976-7474
Phone
(772) 664-3668
Fax
(772) 664-3343
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Bruce Martin Nigro, D.P.M.NPI 1699736736
Title
President
Phone
(772) 664-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

8000 Ron Beatty Blvd
Suite a-3
Micco, FL 32976-7474

Mailing address

8000 Ron Beatty Blvd
Suite a-3
Micco, FL 32976-7474
Phone (772) 664-3668

National Provider Directory

National Provider Directory

Locations

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1508992777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RON BEATTY BLVD",
            "address_2": "SUITE A-3",
            "city": "MICCO",
            "state": "FL",
            "postal_code": "329767474",
            "telephone_number": "772-664-3668",
            "fax_number": "772-664-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RON BEATTY BLVD",
            "address_2": "SUITE A-3",
            "city": "MICCO",
            "state": "FL",
            "postal_code": "329767474",
            "telephone_number": "772-664-3668",
            "fax_number": "772-664-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "NIGRO",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-664-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Micco, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.