Organization Active NPI

J.P. Medical Supply. Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
National Provider Identifier
1801559232
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
J.P. MEDICAL SUPPLY. INC
Practice address
11595 Kelly Rd Ste 112
Fort Myers, FL 33908-2572
Phone
(239) 645-7722
NPI assigned
Oct 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Julio Perez
Title
President
Phone
(239) 645-7722

Specialties & licenses 1

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

Addresses

Primary practice location

11595 Kelly Rd Ste 112
Fort Myers, FL 33908-2572

Mailing address

11595 Kelly Rd Ste 112
Fort Myers, FL 33908-2572
Phone (239) 645-7722

National Provider Directory

National Provider Directory

Locations

11595 Kelly Rd
Ste 112
Fort Myers, FL 33908
Phone (239) 225-7938

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1801559232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 112",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "239-645-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 KELLY RD STE 112",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082572",
            "telephone_number": "239-645-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.P. MEDICAL SUPPLY. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-645-7722"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.