Prefered Medical Equipment Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

AHCA HME LIC #316 Issued in FL

Legal business name

PREFERED MEDICAL EQUIPMENT SUPPLY

Practice address

3675 Davie Blvd
Ft Lauderdale, FL 33312-3439

Phone

(954) 321-3555

Fax

(954) 321-5477

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mercedes Rodriguez

Title

President/Owner

Phone

(954) 321-3555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881686830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 DAVIE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123439",
            "telephone_number": "954-321-3555",
            "fax_number": "954-321-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 DAVIE BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123439",
            "telephone_number": "954-321-3555",
            "fax_number": "954-321-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERED MEDICAL EQUIPMENT SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-321-3555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "AHCA HME LIC #316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OUT OF NETWORK",
            "identifier": "M2573",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.