Four Corners Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

FOUR CORNERS MEDICAL SUPPLY

Practice address

1050 US Highway 27
Suite 20
Clermont, FL 34714-7508

Phone

(352) 243-7477

Fax

(352) 243-7877

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Luis B Mendoza

Title

President

Phone

(352) 243-7477

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528091774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 US HIGHWAY 27",
            "address_2": "SUITE 20",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347147508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 US HIGHWAY 27",
            "address_2": "SUITE 20",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347147508",
            "telephone_number": "352-243-7477",
            "fax_number": "352-243-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-243-7477"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL OXYGEN RETAILER",
            "identifier": "3204596",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "1312914",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Lashae Foreman
• Maria Fornoles
• Orquidea Fortuna
• Carly R Foskey
• Four Corners Chiropractic Centers PA
• Christen Mackenzie Fraley
• Carlene Francis, B.A.S., A.A
• Cassandra G Franco
• Amyrah Celeste Francois
• Peterson Francois

• Oxygen Equipment & Supplies (DME) in Clermont, FL
• Providers in Clermont, 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 Sep 11, 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.