Organization Active NPI

M. Davis Management, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Orlando, FL
National Provider Identifier
1689603300
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
957 Issued in FL
Legal business name
M. DAVIS MANAGEMENT, INC.
Practice address
4502 35TH St
Ste 700
Orlando, FL 32811-6500
Phone
(407) 539-0303
Fax
(407) 539-0304
NPI assigned
Jul 3, 2006
Organization subpart
Yes
Parent organization
AEROCARE HOLDINGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Stephen P Griggs
Title
Ceo
Phone
(407) 206-0040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 957 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 957 FL Primary

Addresses

Primary practice location

4502 35TH St
Ste 700
Orlando, FL 32811-6500

Mailing address

3325 Bartlett Blvd
Orlando, FL 32811-6428
Phone (407) 206-0040

Other identifiers 2

IdentifierTypeStateIssuer
951869000MedicaidFL
R8641OtherFLBC/BS PROVIDER NUMBER

Other names 1

  • PROXIMED Doing business as

National Provider Directory

National Provider Directory
Part of
Aerocare Holdings Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4502 35th St
Ste 700
Orlando, FL 32811
Phone (407) 539-0303

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1689603300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 BARTLETT BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116428",
            "telephone_number": "407-206-0040",
            "fax_number": "407-206-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 35TH ST",
            "address_2": "STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328116500",
            "telephone_number": "407-539-0303",
            "fax_number": "407-539-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. DAVIS MANAGEMENT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AEROCARE HOLDINGS, INC.",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "957",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951869000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "R8641",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROXIMED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.