Active NPI
David Corey Company, LLC
- Customized Equipment (DME)
- Yulee, FL
National Provider Identifier
1720721657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.