Active NPI
PDS Health, Inc
- Durable Medical Equipment & Medical Supplies
- Jupiter, FL
National Provider Identifier
1881919231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 2009-09734
- Legal business name
- PDS HEALTH, INC
- Practice address
- 112 Intracoastal Pointe Dr
Jupiter, FL 33477-5063 - Phone
- (877) 737-4584
- Fax
- (800) 590-3441
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Lysaght
- Title
- President
- Phone
- (877) 737-4584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2009-09734 | FL | Primary |
Addresses
Primary practice location
112 Intracoastal Pointe Dr
Jupiter, FL 33477-5063
Mailing address
112 Intracoastal Pointe Dr
Jupiter, FL 33477-5063
Phone (877) 737-4584
National Provider Directory
National Provider DirectoryLocations
112 Intracoastal Pointe Dr
Jupiter, FL 33477
Phone (561) 575-9477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1881919231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 INTRACOASTAL POINTE DR",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775063",
"telephone_number": "877-737-4584",
"fax_number": "800-590-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 INTRACOASTAL POINTE DR",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775063",
"telephone_number": "877-737-4584",
"fax_number": "800-590-3441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDS HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "LYSAGHT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "877-737-4584",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "2009-09734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.