Organization Active NPI

Profound Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orlando, FL
National Provider Identifier
1891026324
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROFOUND MEDICAL EQUIPMENT, INC.
Practice address
6343 S Chickasaw TRL
Orlando, FL 32829-8369
Phone
(877) 710-8181
Fax
(407) 249-5701
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Ms. Terri Marie Vaniwarden
Title
Sole Owner
Phone
(877) 710-8181

Specialties & licenses 1

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

Addresses

Primary practice location

6343 S Chickasaw TRL
Orlando, FL 32829-8369

Mailing address

PO Box 691724
Orlando, FL 32869-1724
Phone (877) 710-8181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1891026324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691724",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328691724",
            "telephone_number": "877-710-8181",
            "fax_number": "407-249-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 S CHICKASAW TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298369",
            "telephone_number": "877-710-8181",
            "fax_number": "407-249-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFOUND MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "VANIWARDEN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "877-710-8181",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

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

Verify at the official NPI Registry.