Organization Active NPI

Go Medical

  • Durable Medical Equipment & Medical Supplies
  • Lake Mary, FL
National Provider Identifier
1861652521
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OLHS2007082302407 Issued in FL
Legal business name
GO MEDICAL
Practice address
602 Brookfield Loop
Lake Mary, FL 32746-3718
Phone
(407) 496-3222
Fax
(407) 324-9046
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Timothy Harper Pendry, BD. MS.
Title
President
Phone
(407) 324-9046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OLHS2007082302407 FL Primary

Addresses

Primary practice location

602 Brookfield Loop
Lake Mary, FL 32746-3718

Mailing address

PO Box 950936
Lake Mary, FL 32795-0936
Phone (407) 496-3222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1861652521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950936",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327950936",
            "telephone_number": "407-496-3222",
            "fax_number": "407-324-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BROOKFIELD LOOP",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463718",
            "telephone_number": "407-496-3222",
            "fax_number": "407-324-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PENDRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-324-9046",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BD. MS."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "OLHS2007082302407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.