Active NPI
Central Composition Inc
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
National Provider Identifier
1821872326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- CENTRAL COMPOSITION INC
- Practice address
- 412 E Madison St Ste 1209E
Tampa, FL 33602-4601 - Phone
- (813) 302-0620
- NPI assigned
- Aug 24, 2023
- Last updated
- Jun 26, 2024
- 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
- Rene C Tio Fernandez
- Title
- Owner
- Phone
- (786) 794-9040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
412 E Madison St Ste 1209E
Tampa, FL 33602-4601
Mailing address
412 E Madison St Ste 1209E
Tampa, FL 33602-4601
Phone (813) 302-0620
National Provider Directory
National Provider DirectoryLocations
412 E Madison St
Ste 1209E
Tampa, FL 33602
Phone (813) 302-0620
7211 N Dale Mabry Hwy
Ste 228
Tampa, FL 33614
Phone (786) 535-0453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1821872326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 E MADISON ST STE 1209E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024601",
"telephone_number": "813-302-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E MADISON ST STE 1209E",
"city": "TAMPA",
"state": "FL",
"postal_code": "336024601",
"telephone_number": "813-302-0620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL COMPOSITION INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "TIO FERNANDEZ",
"authorized_official_first_name": "RENE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-794-9040"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.