Kings Grant Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KINGS GRANT MEDICAL SUPPLY, INC.

Practice address

13605 SW 149TH Ave
Suite # 9
Miami, FL 33196-5057

Phone

(786) 573-4200

Fax

(305) 278-9046

NPI assigned

May 31, 2006

Last updated

Aug 22, 2020By 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

Mrs. Mirta Morales

Title

President

Phone

(786) 573-4200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639116866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14861 SW 160TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331870800",
            "telephone_number": "305-233-1209",
            "fax_number": "305-278-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 SW 149TH AVE",
            "address_2": "SUITE # 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331965057",
            "telephone_number": "786-573-4200",
            "fax_number": "305-278-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS GRANT MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "MIRTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-573-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurent James Irvin King
• Michele King
• Tre Louis King
• Tricia A King, ARNP
• Wesley King, MD
• Rekha P. Kini, M.D.
• Kininpping Medical Equipment, Inc.
• Natasha Kinne
• Shane M. Kinney, ED.D. LMHC
• Tyrone L. Kinsey

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, 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.