Active NPI
Suncoast Medicare Supply Co. Inc.
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
National Provider Identifier
1619933348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 210
- Legal business name
- SUNCOAST MEDICARE SUPPLY CO. INC.
- Practice address
- 830 49TH St N
Saint Petersburg, FL 33710-6612 - Phone
- (727) 821-7015
- Fax
- (727) 894-6182
- NPI assigned
- Apr 21, 2006
- Last updated
- Aug 27, 2024
- 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
- Mr. Barry E Baldwin
- Title
- President Cfo
- Phone
- (727) 821-7015
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 210 | FL | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 32:00281 | FL |
Addresses
Primary practice location
830 49TH St N
Saint Petersburg, FL 33710-6612
Mailing address
929 Tyrone Blvd N
Saint Petersburg, FL 33710-6332
Phone (727) 821-7015
National Provider Directory
National Provider DirectoryLocations
1145 53rd Ave W
Bradenton, FL 34207
Phone (941) 758-7768
1641 Commerce Ave N
Saint Petersburg, FL 33716
Phone (727) 345-0030
929 Tyrone Blvd N
Saint Petersburg, FL 33710
656 Central Ave
St Petersburg, FL 33701
Phone (727) 821-7015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724716800000",
"number": "1619933348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 TYRONE BLVD N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337106332",
"telephone_number": "727-821-7015",
"fax_number": "727-894-6182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 49TH ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337106612",
"telephone_number": "727-821-7015",
"fax_number": "727-894-6182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST MEDICARE SUPPLY CO. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A",
"authorized_official_last_name": "BALDWIN",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT CFO",
"authorized_official_telephone_number": "727-821-7015",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "210",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "FL",
"license": "32:00281",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic LLC
- Suncoast Medical Clinic, LLC
- Suncoast Medical Equipment LLC (Suncoast Medical Supply)
- Suncoast MSK, LLC
- Suncoast O2 Systems Inc.
- Suncoast Pediatric Therapy, Inc. (Suncoast Pediatric Therapy)
- Suncoast Sports and Orthopedic Therapy (Next Step Rehabilitation)
- Suncoast Sports and Orthopedic Therapy (Next Step Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.