Organization Active NPI

Menrx Surgical, LLC

  • Customized Equipment (DME)
  • Jacksonville, FL
National Provider Identifier
1689983397
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.