Medical Supplies Fla

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SUPPLIES FLA

Practice address

808 Grand Central St Apt 12
Clearwater, FL 33756-3451

Phone

(727) 479-5504

NPI assigned

Sep 24, 2015

Organization subpart

Yes

Parent organization

YESAs reported in NPPES

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

Authorized official

Name

Mr. Carlos Rudolph Hunt, INDEPENDENT

Title

Owner

Phone

(727) 479-5504

Specialties & licenses 2

Addresses

Other names 1

• N/A Other name

Part of

Medical Supplies Fla

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1881063451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GRAND CENTRAL ST APT 12",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563451",
            "telephone_number": "727-479-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GRAND CENTRAL ST APT 12",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563451",
            "telephone_number": "727-479-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLIES FLA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "RUDOLPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-479-5504",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "INDEPENDENT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "BTR0034648",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Medi Prime Care LLC
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• Medical Equipment and Supplies of America LLC
• Medical Services of America Inc
• Medical Solutions Direct
• Brandon Louis Mednick, MD
• Medsource, LLC
• Carole Ann Medvesky, D.M.D
• Medway Medical Centers of Clearwater LLC
• Medx Diagnostic Service

• Durable Medical Equipment & Medical Supplies in Clearwater, FL
• Providers in Clearwater, 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 Sep 24, 2015; 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.