Thera-Diagnostics and Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

P94000059383 Issued in FL

Legal business name

THERA-DIAGNOSTICS AND MEDICAL SUPPLIES, INC.

Practice address

17555 Collins Ave
Sunny Isles Beach, FL 33160-2882

Phone

(786) 525-8167

Fax

(954) 983-1929

NPI assigned

Aug 28, 2008

Last updated

Aug 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Harold Hirschenson

Title

Owner/President

Phone

(786) 525-8167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1629226048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17555 COLLINS AVE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602882",
            "telephone_number": "786-525-8167",
            "fax_number": "954-983-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17555 COLLINS AVE",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602882",
            "telephone_number": "786-525-8167",
            "fax_number": "954-983-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERA-DIAGNOSTICS AND MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "HIRSCHENSON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "786-525-8167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "P94000059383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, 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 28, 2008; 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.