Inside Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INSIDE MEDICAL SUPPLY LLC

Practice address

1975 E Sunrise Blvd Ste 502
Ft Lauderdale, FL 33304-1408

Phone

(561) 503-2693

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Rivina Khan

Title

Owner

Phone

(561) 503-2693

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ravina Khan

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
  • NPI 1306448618
  NPD

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1568068765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD STE 502",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041408",
            "telephone_number": "561-503-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD STE 502",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041408",
            "telephone_number": "561-503-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RIVINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-503-2693"
    },
    "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 Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.