Organization Active NPI

Infinity Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1558848556
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INFINITY MEDICAL SUPPLY LLC
Practice address
1915 NE 45TH St Ste 205
Fort Lauderdale, FL 33308-5100
Phone
(754) 206-4175
NPI assigned
Jul 23, 2018
Last updated
Jul 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Authorized official

Name
Ryan PattrinNPI 1972089449
Title
Owner/Manager
Phone
(754) 206-4175

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 NU Primary

Addresses

Primary practice location

1915 NE 45TH St Ste 205
Fort Lauderdale, FL 33308-5100

Mailing address

1915 NE 45TH St Ste 205
Fort Lauderdale, FL 33308-5100
Phone (754) 206-4175

National Provider Directory

National Provider Directory

Locations

1915 NE 45th St
Ste 205
Fort Lauderdale, FL 33308
Phone (720) 388-5114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1558848556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085100",
            "telephone_number": "754-206-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE 45TH ST STE 205",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085100",
            "telephone_number": "754-206-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "PATTRIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "754-206-4175"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.