Costal Durable Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COSTAL DURABLE MEDICAL SUPPLIES INC

Practice address

3812 Township Square Blvd
Apt 412
Orlando, FL 32837-5380

Phone

(407) 600-6199

NPI assigned

Jul 31, 2012

Organization subpart

No

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

Authorized official

Name

Flor Mendoza

Title

Cfo

Phone

(407) 600-6199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1841546553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 TOWNSHIP SQUARE BLVD",
            "address_2": "APT 412",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375380",
            "telephone_number": "407-600-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 TOWNSHIP SQUARE BLVD",
            "address_2": "APT 412",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375380",
            "telephone_number": "407-600-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTAL DURABLE MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "FLOR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-600-6199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Costa, PHARMD
• Jessica Costa
• Lucas Soares Costa
• Nisa Ann Costa
• Shelby Ann Costa, PA
• Christina Maris Costales Torres
• Angelica Costantino
• Krista A Costanzo, MD
• Kaitlyn Jordana Costas, LCSW
• Costco Wholesale Corporation (Costco Optical #1235)

• Durable Medical Equipment & Medical Supplies in Orlando, FL
• Providers in Orlando, 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 Jul 31, 2012; 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.