Support Plus Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUPPORT PLUS MEDICAL, INC

Practice address

8241 Business Park Dr
Port Saint Lucie, FL 34952-7950

Phone

(772) 873-0081

Fax

(888) 262-0475

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith Trowbridge

Title

President/Board Chair

Phone

(866) 901-4506

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1891731352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SE PRIMA VISTA BLVD",
            "address_2": "SUITE 200",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349522306",
            "telephone_number": "772-408-5840",
            "fax_number": "888-262-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 BUSINESS PARK DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527950",
            "telephone_number": "772-873-0081",
            "fax_number": "888-262-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT PLUS MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "TROWBRIDGE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/BOARD CHAIR",
        "authorized_official_telephone_number": "18669014506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.