Active NPI
Medic Core Supplies Inc
- Durable Medical Equipment & Medical Supplies
- Wesley Chapel, FL
National Provider Identifier
1679339683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDIC CORE SUPPLIES INC
- Practice address
- 30740 FL -54 Suite 125
Wesley Chapel, FL 33543 - Phone
- (786) 683-9965
- NPI assigned
- Feb 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwitch Ambroise
- Title
- President
- Phone
- (786) 683-9965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
30740 FL -54 Suite 125
Wesley Chapel, FL 33543
Mailing address
30740 FL -54 Suite 125
Wesley Chapel, FL 33543
Phone (786) 683-9965
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1679339683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30740 FL -54 SUITE 125",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "33543",
"telephone_number": "786-683-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30740 FL -54 SUITE 125",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "33543",
"telephone_number": "786-683-9965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIC CORE SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "AMBROISE",
"authorized_official_first_name": "EDWITCH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-683-9965"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.