MTR Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1313559 Issued in FL

Legal business name

MTR MEDICAL SUPPLY INC.

Practice address

3363 Sheridan St
Suite 212
Hollywood, FL 33021-3664

Phone

(954) 456-5600

Fax

(954) 894-1818

NPI assigned

Apr 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Todd Rosenthal

Title

Owner/ General Manager

Phone

(954) 456-5600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1710120464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3389 SHERIDAN ST",
            "address_2": "547",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "954-456-5600",
            "fax_number": "954-894-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 SHERIDAN ST",
            "address_2": "SUITE 212",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213664",
            "telephone_number": "954-456-5600",
            "fax_number": "954-894-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTR MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER/ GENERAL MANAGER",
        "authorized_official_telephone_number": "954-456-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.