Atlantic Coastal Medical Supplies,LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ATLANTIC COASTAL MEDICAL SUPPLIES,LLC

Practice address

801 Northpoint Pkwy
6
West Palm Beach, FL 33407-1973

Phone

(561) 273-1763

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Damian Bodden

Title

Manager

Phone

(561) 275-1763

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1720525173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NORTHPOINT PKWY",
            "address_2": "6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071973",
            "telephone_number": "561-273-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTHPOINT PKWY",
            "address_2": "6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071973",
            "telephone_number": "561-273-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COASTAL MEDICAL SUPPLIES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "BODDEN",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-275-1763"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.