Progressive Medical Diagnostic Systems, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROGRESSIVE MEDICAL DIAGNOSTIC SYSTEMS, LLC

Practice address

25816 Arundel Way
Sorrento, FL 32776-9569

Phone

(352) 735-3659

Fax

(352) 729-3135

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brad N. Palmer

Title

Manager

Phone

(352) 735-3659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1790962330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25816 ARUNDEL WAY",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769569",
            "telephone_number": "352-735-3659",
            "fax_number": "352-729-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25816 ARUNDEL WAY",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769569",
            "telephone_number": "352-735-3659",
            "fax_number": "352-729-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL DIAGNOSTIC SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-735-3659",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Sorrento, FL
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.