Emerald Coast Oxygen & Medical Equipment Supply, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1312656 Issued in FL

Legal business name

EMERALD COAST OXYGEN & MEDICAL EQUIPMENT SUPPLY, LLC

Practice address

8189B Millers St
Laurel Hill, FL 32567-2118

Phone

(850) 652-3411

Fax

(850) 652-2033

NPI assigned

Mar 16, 2006

Last updated

Aug 22, 2020By 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

Ms. Barbara R Williams

Title

Cfo

Phone

(850) 652-3411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528037942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8189B MILLERS ST",
            "city": "LAUREL HILL",
            "state": "FL",
            "postal_code": "325672118",
            "telephone_number": "850-652-3411",
            "fax_number": "850-652-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8189B MILLERS ST",
            "city": "LAUREL HILL",
            "state": "FL",
            "postal_code": "325672118",
            "telephone_number": "850-652-3411",
            "fax_number": "850-652-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST OXYGEN & MEDICAL EQUIPMENT SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "850-652-3411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1312656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Laurel Hill, FL
• Providers in Laurel Hill, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.