Organization Active NPI

TLC Oxygen & Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Lauderdale, FL
National Provider Identifier
1629028808
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1907 Issued in FL
Legal business name
TLC OXYGEN & MEDICAL SUPPLIES, INC.
Practice address
2003 W Cypress Creek Rd Ste 104
Fort Lauderdale, FL 33309-1834
Phone
(844) 402-2768
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
James Alexandre
Title
President
Phone
(954) 608-1665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1907 FL Primary

Addresses

Primary practice location

2003 W Cypress Creek Rd Ste 104
Fort Lauderdale, FL 33309-1834

Mailing address

2003 W Cypress Creek Rd Ste 104
Fort Lauderdale, FL 33309-1834
Phone (844) 402-2768

Other identifiers 1

IdentifierTypeStateIssuer
R9406OtherFLBLUE SHIELD PROVIDER #

National Provider Directory

National Provider Directory

Locations

2003 W Cypress Creek Rd
Ste 104
Fort Lauderdale, FL 33309
Phone (754) 312-5380

2204 Citrus Blvd
Ste 4A
Leesburg, FL 34748
Phone (352) 787-2205

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1629028808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W CYPRESS CREEK RD STE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091834",
            "telephone_number": "844-402-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W CYPRESS CREEK RD STE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091834",
            "telephone_number": "844-402-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC OXYGEN & MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-608-1665"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "R9406",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.