Lissmart Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LISSMART MEDICAL SUPPLY, INC

Practice address

4579 Gunn Hwy
Tampa, FL 33624-6311

Phone

(813) 374-2452

Fax

(813) 374-2453

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Lisvet Martinez

Title

President

Phone

(813) 374-2452

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1861446312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246311",
            "telephone_number": "813-374-2452",
            "fax_number": "813-374-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246311",
            "telephone_number": "813-374-2452",
            "fax_number": "813-374-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSMART MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LISVET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-374-2452"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P8617",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "8202708",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Indelicato SLP-Pros, Inc
• Lisa M. Petrica-Moser, PH.D. Inc.
• Lisset Maria Suarez MD PA
• Lissmart Medical Supplies Inc
• Lissmart Medical Supplies Inc
• Lissmart Rehabilitation of Tampa,Inc
• Alan List, MD
• Brock Lister
• Jennifer Jones Lister, PH.D.
• Theodore John Liswith, LCSW

• Durable Medical Equipment & Medical Supplies in Tampa, FL
• Providers in Tampa, 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 Mar 22, 2013; 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.