Active NPI
Menrx Surgical, LLC
- Customized Equipment (DME)
- Jacksonville, FL
National Provider Identifier
1689983397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- MENRX SURGICAL, LLC
- Practice address
- 10302 Deerwood Park Blvd
Suite 209
Jacksonville, FL 32256-2880 - Phone
- (888) 881-5486
- Fax
- (888) 777-6903
- NPI assigned
- Sep 29, 2010
- Last updated
- Jun 10, 2012
- 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
- Amber Booth
- Title
- Sales Consultant / Associate
- Phone
- (888) 881-5468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
10302 Deerwood Park Blvd
Suite 209
Jacksonville, FL 32256-2880
Mailing address
PO Box 3031
Titusville, FL 32781-3031
Phone (407) 679-2522
National Provider Directory
National Provider DirectoryLocations
10302 Deerwood Park Blvd
Ste 209
Jacksonville, FL 32256
Phone (888) 881-5486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339286400000",
"number": "1689983397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3031",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327813031",
"telephone_number": "407-679-2522",
"fax_number": "407-679-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10302 DEERWOOD PARK BLVD",
"address_2": "SUITE 209",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322562880",
"telephone_number": "888-881-5486",
"fax_number": "888-777-6903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENRX SURGICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-29",
"last_updated": "2012-06-10",
"status": "A",
"authorized_official_last_name": "BOOTH",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "SALES CONSULTANT / ASSOCIATE",
"authorized_official_telephone_number": "888-881-5468"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.