Organization Active NPI

Poinciana Med Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Kissimmee, FL
National Provider Identifier
1700568391
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
POINCIANA MED EQUIPMENT LLC
Practice address
1154 Chervil Dr
Kissimmee, FL 34759-5435
Phone
(407) 338-5822
NPI assigned
Aug 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Namir Zoe GarayNPI 1063105807
Title
Ceo
Phone
(407) 338-5822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1154 Chervil Dr
Kissimmee, FL 34759-5435

Mailing address

1154 Chervil Dr
Kissimmee, FL 34759-5435
Phone (407) 338-5822

Other names 1

  • Poinciana Med Equipment LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1700568391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 CHERVIL DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347595435",
            "telephone_number": "407-338-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 CHERVIL DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347595435",
            "telephone_number": "407-338-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA MED EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "GARAY",
        "authorized_official_first_name": "NAMIR",
        "authorized_official_middle_name": "ZOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-338-5822"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poinciana Med Equipment LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Poinciana Med Equipment LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.