Organization Active NPI

Mediquick,L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
National Provider Identifier
1679550214
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312800 Issued in FL
Legal business name
MEDIQUICK,L.L.C.
Practice address
2362 Blanding Blvd
Middleburg, FL 32068-4927
Phone
(904) 269-1463
NPI assigned
Dec 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Mr. Gerald Sohn
Title
President
Phone
(904) 591-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312800 FL Primary

Addresses

Primary practice location

2362 Blanding Blvd
Middleburg, FL 32068-4927

Mailing address

2362 Blanding Blvd
Middleburg, FL 32068-4927

Other names 1

  • mediquick Doing business as

National Provider Directory

National Provider Directory

Locations

2362 Blanding Blvd
Middleburg, FL 32068
Phone (904) 269-1463

NPI Registry JSON

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

{
    "created_epoch": "1135468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1679550214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 BLANDING BLVD",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 BLANDING BLVD",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684927",
            "telephone_number": "904-269-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUICK,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-25",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-591-6377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mediquick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.