Active NPI
South Shore Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Fort Lauderdale, FL
National Provider Identifier
1821615071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOUTH SHORE MEDICAL SUPPLIES LLC
- Practice address
- 1975 E Sunrise Blvd Ste 624
Fort Lauderdale, FL 33304-1453 - Phone
- (561) 486-9263
- NPI assigned
- Jul 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Ginsberg
- Title
- Authorized Member
- Phone
- (561) 486-9263
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1975 E Sunrise Blvd Ste 624
Fort Lauderdale, FL 33304-1453
Mailing address
134 NW 16TH St Ste 2
Boca Raton, FL 33432-1691
Phone (516) 790-3861
National Provider Directory
National Provider DirectoryLocations
1975 E Sunrise Blvd
Ste 624
Ft Lauderdale, FL 33304
Phone (561) 486-9263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607644800000",
"number": "1821615071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 NW 16TH ST STE 2",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334321691",
"telephone_number": "516-790-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 E SUNRISE BLVD STE 624",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333041453",
"telephone_number": "561-486-9263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH SHORE MEDICAL SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-02",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A",
"authorized_official_last_name": "GINSBERG",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "AUTHORIZED MEMBER",
"authorized_official_telephone_number": "561-486-9263"
},
"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 Lauderdale, FL
- South Florida Therapy and Wellness Center, Inc
- South Florida Vision Associates, LLC
- South Florida Vision Services, Inc.
- South Florida Wellness Network, Inc
- South Florida Women'S Wellness and Aesthetics
- Southast Homecare Corp
- Southeast Florida Hematology Oncology Group PA
- Southeast Florida Pain Management
- Southeast Homecare LLC
- Southeastern Imaging, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.