Active NPI
State Medical Group Inc
- Durable Medical Equipment & Medical Supplies
- Longwood, FL
National Provider Identifier
1821906058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- STATE MEDICAL GROUP INC
- Practice address
- 635 Cambridge CT
Longwood, FL 32750-3901 - Phone
- (520) 843-4567
- NPI assigned
- Aug 29, 2026
- 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
- Smith Jackson
- Title
- Manager
- Phone
- (520) 843-4567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
635 Cambridge CT
Longwood, FL 32750-3901
Mailing address
635 Cambridge CT
Longwood, FL 32750-3901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787961600000",
"number": "1821906058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 CAMBRIDGE CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 CAMBRIDGE CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503901",
"telephone_number": "520-843-4567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "SMITH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "520-843-4567"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.