NPIMap

Organization Active NPI

Medical Equipment and Supplies of America LLC

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, FL
National Provider Identifier
1831722909
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL EQUIPMENT AND SUPPLIES OF AMERICA LLC
Practice address
1614 NW 55TH PL
Gainesville, FL 32653-2109
Phone
(855) 331-6372
Fax
(866) 727-2399
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Samuel Eric Gellerstedt
Title
General Manager
Phone
(727) 851-9880

Specialties & licenses 1

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

Addresses

Primary practice location

1614 NW 55TH PL
Gainesville, FL 32653-2109

Mailing address

12035 34TH St N Ste 1
St Petersburg, FL 33716-1839
Phone (727) 265-7556

National Provider Directory

National Provider Directory
Tax ID family
Medical Equipment and Supplies of America LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1614 NW 55th Pl
Gainesville, FL 32653
Phone (855) 331-6372

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1831722909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 34TH ST N STE 1",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161839",
            "telephone_number": "727-265-7556",
            "fax_number": "866-727-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 NW 55TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326532109",
            "telephone_number": "855-331-6372",
            "fax_number": "866-727-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EQUIPMENT AND SUPPLIES OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "GELLERSTEDT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "727-851-9880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.