Organization Active NPI

Medfast DME Solution LLC

  • Durable Medical Equipment & Medical Supplies
  • Riverview, FL
National Provider Identifier
1801742887
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDFAST DME SOLUTION LLC
Practice address
11920 Myrtle Rock Dr
Riverview, FL 33578-3142
Phone
(631) 784-3202
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Roxon Kimberly Osbourne
Title
Owner
Phone
(631) 784-3202

Specialties & licenses 1

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

Addresses

Primary practice location

11920 Myrtle Rock Dr
Riverview, FL 33578-3142

Mailing address

11920 Myrtle Rock Dr
Riverview, FL 33578-3142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1801742887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 MYRTLE ROCK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 MYRTLE ROCK DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783142",
            "telephone_number": "631-784-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFAST DME SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "OSBOURNE",
        "authorized_official_first_name": "ROXON KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-784-3202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.