Organization Active NPI

Miami Lakes Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Miami Lakes, FL
National Provider Identifier
1912096470
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N/A
Legal business name
MIAMI LAKES MEDICAL SUPPLIES, INC.
Practice address
6447 Miami Lakes Drive
222E
Miami Lakes, FL 33014-2741
Phone
(754) 581-2043
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Henry R Crouser
Title
Pres
Phone
(754) 581-2043

Specialties & licenses 1

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

Addresses

Primary practice location

6447 Miami Lakes Drive
222E
Miami Lakes, FL 33014-2741

Mailing address

6447 Miami Lakes Drive
222E
Miami Lakes, FL 33014-2741

National Provider Directory

National Provider Directory

Locations

6447 Miami Lakes Dr E
Ste 222E
Miami Lakes, FL 33014
Phone (305) 219-9742

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912096470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DRIVE",
            "address_2": "222E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DRIVE",
            "address_2": "222E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142741",
            "telephone_number": "754-581-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI LAKES MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROUSER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "754-581-2043"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.