Organization Active NPI

Ag Team Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Palm Springs, FL
National Provider Identifier
1700646544
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AG TEAM SUPPLY LLC
Practice address
3206 Forest Hill Blvd Lot 103
Palm Springs, FL 33406-5802
Phone
(954) 314-7644
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Andres Gonzalez
Title
Member
Phone
(954) 314-7644

Specialties & licenses 1

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

Addresses

Primary practice location

3206 Forest Hill Blvd Lot 103
Palm Springs, FL 33406-5802

Mailing address

3206 Forest Hill Blvd Lot 103
Palm Springs, FL 33406-5802
Phone (954) 314-7644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1700646544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 FOREST HILL BLVD LOT 103",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065802",
            "telephone_number": "954-314-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 FOREST HILL BLVD LOT 103",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065802",
            "telephone_number": "954-314-7644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG TEAM SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "954-314-7644"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.