Odessa Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

272954 Issued in FL

Legal business name

ODESSA MEDICAL SUPPLY

Practice address

6614 Thoroughbred Loop
Odessa, FL 33556-1813

Phone

(813) 789-1362

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Francisco Lozano

Title

Member

Phone

(813) 789-1362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1861814618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6614 THOROUGHBRED LOOP",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 THOROUGHBRED LOOP",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561813",
            "telephone_number": "813-789-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-789-1362"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "272954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Odessa, FL
• Providers in Odessa, 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 Jan 14, 2014; 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.