Organization Active NPI

Cypress Medical

  • Oxygen Equipment & Supplies (DME)
  • Port St Lucie, FL
National Provider Identifier
1902075427
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
L07000060124 Issued in FL
Legal business name
CYPRESS MEDICAL
Practice address
877 SW South Macedo Blvd
Port St Lucie, FL 34983-1815
Phone
(772) 634-2891
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mr. Gregory Wayne Bowen
Title
Owner
Phone
(772) 634-2891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X L07000060124 FL Primary

Addresses

Primary practice location

877 SW South Macedo Blvd
Port St Lucie, FL 34983-1815

Mailing address

2244 SE Federal Hwy # 109
Stuart, FL 34994-4517
Phone (772) 634-2891

National Provider Directory

National Provider Directory

Locations

2244 SE Federal Hwy
#109
Stuart, FL 34994

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1902075427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 SE FEDERAL HWY # 109",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944517",
            "telephone_number": "772-634-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 SW SOUTH MACEDO BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831815",
            "telephone_number": "772-634-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-634-2891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "L07000060124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.