Premiere Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIERE MEDICAL SUPPLY INC

Practice address

1306 SE 46TH LN Ste 1a
Cape Coral, FL 33904-8647

Phone

(239) 471-0303

Fax

(239) 257-2364

NPI assigned

Jul 29, 2020

Last updated

Nov 19, 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

Yasmany Garcia Perez

Title

President

Phone

(239) 471-0303

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1548879141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 SE 46TH LN STE 1A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048647",
            "telephone_number": "239-471-0303",
            "fax_number": "239-257-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 SE 46TH LN STE 1A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048647",
            "telephone_number": "239-471-0303",
            "fax_number": "239-257-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA PEREZ",
        "authorized_official_first_name": "YASMANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-471-0303"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.