Patriot Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATRIOT MEDICAL INC

Practice address

5909 Egret Landing PL
Lithia, FL 33547-3964

Phone

(813) 679-0652

Fax

(844) 349-5531

NPI assigned

May 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Charles Richard Neu

Title

Owner/President/Ceo

Phone

(813) 679-0652

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527379200000",
    "number": "1659862597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 EGRET LANDING PL",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473964",
            "telephone_number": "813-679-0652",
            "fax_number": "844-349-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 EGRET LANDING PL",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473964",
            "telephone_number": "813-679-0652",
            "fax_number": "844-349-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-27",
        "last_updated": "2018-05-27",
        "status": "A",
        "authorized_official_last_name": "NEU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "813-679-0652",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Lithia, FL
• Providers in Lithia, 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 May 27, 2018; 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.