Organization Active NPI

S Florida Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Delray Beach, FL
National Provider Identifier
1912912643
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1521 Issued in FL
Legal business name
S FLORIDA MEDICAL SUPPLY INC
Practice address
4900 Linton Blvd
Suite 26
Delray Beach, FL 33445
Phone
(561) 637-7705
Fax
(561) 637-1967
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. Donald Lee Page
Title
Ceo
Phone
(561) 637-7705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1521 FL Primary

Addresses

Primary practice location

4900 Linton Blvd
Suite 26
Delray Beach, FL 33445

Mailing address

4900 Linton Blvd
Suite 26
Delray Beach, FL 33445
Phone (561) 637-7705

Other identifiers 2

IdentifierTypeStateIssuer
026986700MedicaidFL
R9521OtherBLUE CROSS OF FLORIDA

National Provider Directory

National Provider Directory

Locations

1250 Wallace Dr
Ste B
Delray Beach, FL 33444
Phone (561) 243-8481

4900 Linton Blvd
Ste 26
Delray Beach, FL 33445
Phone (561) 637-7705

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1912912643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 LINTON BLVD",
            "address_2": "SUITE 26",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-637-7705",
            "fax_number": "561-637-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 LINTON BLVD",
            "address_2": "SUITE 26",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-637-7705",
            "fax_number": "561-637-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S FLORIDA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-637-7705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026986700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "R9521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.