Organization Active NPI

Mid Florida Medical

  • Durable Medical Equipment & Medical Supplies
  • Orange City, FL
National Provider Identifier
1780839720
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MID FLORIDA MEDICAL
Practice address
2756 B Enterprise Road
Orange City, FL 32763
Phone
(386) 774-1390
Fax
(386) 774-2346
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Mr. Gary N Knight
Title
Owner
Phone
(800) 422-2612

Specialties & licenses 1

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

Addresses

Primary practice location

2756 B Enterprise Road
Orange City, FL 32763

Mailing address

2756 Enterprise Rd Ste B
Orange City, FL 32763-8330
Phone (386) 774-1390

Other identifiers 1

IdentifierTypeStateIssuer
022645900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Mid Florida Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2756 Enterprise Rd
Ste B
Orange City, FL 32763
Phone (386) 774-1390

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1780839720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 ENTERPRISE RD STE B",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638330",
            "telephone_number": "386-774-1390",
            "fax_number": "386-774-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 B ENTERPRISE ROAD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-774-1390",
            "fax_number": "386-774-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID FLORIDA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-422-2612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022645900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.