Oceanview Orthotic Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OCEANVIEW ORTHOTIC SUPPLIES LLC

Practice address

6011 Rodman St Ste 111
Hollywood, FL 33023-1854

Phone

(954) 516-0877

Fax

(954) 516-0887

NPI assigned

Jan 24, 2023

Last updated

Mar 8, 2024By 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

John Dairo Gomez Mejia

Title

Ceo / President

Phone

(954) 516-0877

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1639885627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 RODMAN ST STE 111",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231854",
            "telephone_number": "954-516-0877",
            "fax_number": "954-516-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 RODMAN ST STE 111",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231854",
            "telephone_number": "954-516-0877",
            "fax_number": "954-516-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANVIEW ORTHOTIC SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "GOMEZ MEJIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAIRO",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "954-516-0877"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hollywood, FL
• Providers in Hollywood, 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 Mar 8, 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.

Verify at the official NPI Registry.