Organization Active NPI

Panther Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1891788899
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8510 Issued in FL
Legal business name
PANTHER MEDICAL, INC.
Practice address
405 N Reo St
Suite 100
Tampa, FL 33609-1060
Phone
(813) 639-9221
Fax
(813) 288-9838
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
David Randazzo
Title
Operations Manager
Phone
(813) 639-9221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8510 FL Primary

Addresses

Primary practice location

405 N Reo St
Suite 100
Tampa, FL 33609-1060

Mailing address

405 N Reo St
Suite 100
Tampa, FL 33609-1060
Phone (813) 639-9221

National Provider Directory

National Provider Directory

Locations

405 N Reo St
Ste 100
Tampa, FL 33609
Phone (813) 639-9221

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1891788899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N REO ST",
            "address_2": "SUITE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091060",
            "telephone_number": "813-639-9221",
            "fax_number": "813-288-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N REO ST",
            "address_2": "SUITE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091060",
            "telephone_number": "813-639-9221",
            "fax_number": "813-288-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHER MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "813-639-9221"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "8510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.