Medidrive, LLC

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

MEDIDRIVE, LLC

Practice address

13680 NW 5TH St Ste 130
Sunrise, FL 33325-6234

Phone

(833) 633-4374

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Alan Murray

Title

President

Phone

(833) 633-4374

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1598536534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13680 NW 5TH ST STE 130",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256234",
            "telephone_number": "833-633-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13680 NW 5TH ST STE 130",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333256234",
            "telephone_number": "833-633-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIDRIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-633-4374"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "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 Jan 9, 2024; 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.