South Florida Medical Corp

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

2003-04453 Issued in FL

Legal business name

SOUTH FLORIDA MEDICAL CORP

Practice address

6462 E Rogers Cir
Boca Raton, FL 33487-2653

Phone

(561) 443-3522

Fax

(561) 443-3312

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Karen S Dietz

Title

Ceo

Phone

(561) 443-3522

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• David Wille

  • Specialist
  • Boca Raton, FL
  • NPI 1659399038
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1568469823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6462 E ROGERS CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872653",
            "telephone_number": "561-443-3522",
            "fax_number": "561-443-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6462 E ROGERS CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872653",
            "telephone_number": "561-443-3522",
            "fax_number": "561-443-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-443-3522",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "2003-04453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R8660",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "952006600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Florida Counseling Inc
• South Florida Eye Associates, PA
• South Florida Family Treatment
• South Florida Hand and Orthopaedic Center PA
• South Florida Imaging & Diagnostic Center Inc
• South Florida Neurology Associates PA
• South Florida Nuclear Medicine
• South Florida Nursing Inc.
• South Florida Spinal Neurosurgery Associates LLC
• South Florida Spinal Neurosurgery Associates, LLC

• Oxygen Equipment & Supplies (DME) in Boca Raton, FL
• Providers in Boca Raton, 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 Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.