JMC Med Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JMC MED SUPPLY INC

Practice address

11595 Kelly Rd Ste 115
Fort Myers, FL 33908-2572

Phone

(305) 304-4462

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Enier Capetillo

Title

President

Phone

(305) 304-4462

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1588326425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 115",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "305-304-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 115",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "305-304-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC MED SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "CAPETILLO",
        "authorized_official_first_name": "ENIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-304-4462"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.