Good Life Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOOD LIFE MEDICAL SUPPLY CORP

Practice address

1621 S 21St Ave
Hollywood, FL 33020-6364

Phone

(954) 925-8792

Fax

(954) 925-8793

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Erika D Garcia

Title

President

Phone

(954) 925-8792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598794182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 S 21ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206364",
            "telephone_number": "954-925-8792",
            "fax_number": "954-925-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 S 21ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206364",
            "telephone_number": "954-925-8792",
            "fax_number": "954-925-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-925-8792"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Gonzalez, APRN
• Yesleydi Gonzalez, RBT
• Yoel Alexi Gonzalez
• Eldry Gonzalo Perez
• Good Friend Counseling Services
• Good Quality of Care Inc
• Good Vibrations LLC
• Pauline Vevian Good, ARNP
• Andrew Goodrich, D.O.
• Christine Veda Goordeen

• Durable Medical Equipment & Medical Supplies in Hollywood, FL
• Providers in Hollywood, 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 Aug 22, 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.