Organization Active NPI

Vital Option Medical Supply Corp.

  • Durable Medical Equipment & Medical Supplies
  • Virginia Gardens, FL
National Provider Identifier
1811007156
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITAL OPTION MEDICAL SUPPLY CORP.
Practice address
6595 NW 36TH St
Suite 300B
Virginia Gardens, FL 33166-6979
Phone
(786) 290-2268
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Sami Badlissi
Title
President
Phone
(786) 290-2268

Specialties & licenses 1

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

Addresses

Primary practice location

6595 NW 36TH St
Suite 300B
Virginia Gardens, FL 33166-6979

Mailing address

6595 NW 36TH St
Suite 300B
Virginia Gardens, FL 33166-6979
Phone (786) 290-2268

National Provider Directory

National Provider Directory

Locations

6595 NW 36th St
Ste 300B
Virginia Gardens, FL 33166
Phone (786) 290-2268

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1811007156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 300B",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "786-290-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36TH ST",
            "address_2": "SUITE 300B",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666979",
            "telephone_number": "786-290-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL OPTION MEDICAL SUPPLY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "BADLISSI",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-290-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.