Organization Active NPI

David Corey Company, LLC

  • Customized Equipment (DME)
  • Yulee, FL
National Provider Identifier
1720721657
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
DAVID COREY COMPANY, LLC
Practice address
463688 State Road 200 Ste 200
Yulee, FL 32097-0304
Phone
(904) 261-1740
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Mr. David Corey Staver
Title
Ceo
Phone
(904) 261-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

463688 State Road 200 Ste 200
Yulee, FL 32097-0304

Mailing address

463688 State Road 200 Ste 200
Yulee, FL 32097-0304
Phone (904) 261-1740

National Provider Directory

National Provider Directory

Locations

463688 State Road 200
Ste 200
Yulee, FL 32097
Phone (904) 261-1740

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1720721657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463688 STATE ROAD 200 STE 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970304",
            "telephone_number": "904-261-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463688 STATE ROAD 200 STE 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970304",
            "telephone_number": "904-261-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID COREY COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "STAVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-261-1740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.