Active NPI
Good Vibrations LLC
- Durable Medical Equipment & Medical Supplies
- Hollywood, FL
National Provider Identifier
1619166030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GOOD VIBRATIONS LLC
- Practice address
- 4104 N 50TH Ave
Hollywood, FL 33021-1617 - Phone
- (954) 963-7273
- Fax
- (954) 964-6397
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard D Koenig, DPM
- Title
- Ceo
- Phone
- (954) 963-7273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | FL | Primary |
Addresses
Primary practice location
4104 N 50TH Ave
Hollywood, FL 33021-1617
Mailing address
4104 N 50TH Ave.
Hollywood, FL 33021-1617
Phone (954) 963-7273
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1619166030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4104 N 50TH AVE.",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330211617",
"telephone_number": "954-963-7273",
"fax_number": "954-964-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4104 N 50TH AVE",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330211617",
"telephone_number": "954-963-7273",
"fax_number": "954-964-6397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD VIBRATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "KOENIG",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-963-7273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.