I-Maze LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

I-MAZE LLC

Doing business as

i maze llc

Practice address

1499 N Lake Ave FL 33825
Avon Park, FL 33825-2428

Phone

(954) 709-9572

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Nasir A Khan

Title

President

Phone

(954) 709-9572

Specialties & licenses 1

Addresses

Other names 1

• i maze llc Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1811675200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 N LAKE AVE # 14",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252428",
            "telephone_number": "954-709-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 N LAKE AVE FL 33825",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252428",
            "telephone_number": "954-709-9572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1499 N Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Avon Park",
            "state": "FL",
            "postal_code": "338252428",
            "country_code": "US",
            "telephone_number": "954-709-9572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I-MAZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "A KHAN",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-709-9572"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "i maze llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "i maze llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.