Nature Coast Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NATURE COAST MEDICAL SUPPLY

Practice address

920 E Hathaway Ave
Apt 3
Bronson, FL 32621-6702

Phone

(352) 221-5293

NPI assigned

Jun 9, 2014

Organization subpart

No

Name

Mark Alexis Pimentel

Title

Owner

Phone

(352) 221-5293

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2014.

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1790198505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E HATHAWAY AVE",
            "address_2": "APT 3",
            "city": "BRONSON",
            "state": "FL",
            "postal_code": "326216702",
            "telephone_number": "352-221-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E HATHAWAY AVE",
            "address_2": "APT 3",
            "city": "BRONSON",
            "state": "FL",
            "postal_code": "326216702",
            "telephone_number": "352-221-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURE COAST MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-221-5293"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bronson, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.