Medisource Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1065190001 Issued in FL

Legal business name

MEDISOURCE CORP

Practice address

7025 Beracasa Way
Suite 102B
Boca Raton, FL 33433-3443

Phone

(561) 361-9604

Fax

(561) 394-5186

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Arbeitman, VP

Title

VP

Phone

(561) 361-9604

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922032275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 W PALMETTO PARK RD",
            "address_2": "#4-575",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333407",
            "telephone_number": "561-361-9604",
            "fax_number": "561-394-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 BERACASA WAY",
            "address_2": "SUITE 102B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333443",
            "telephone_number": "561-361-9604",
            "fax_number": "561-394-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISOURCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARBEITMAN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "561-361-9604",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1065190001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Antonio Medina Hernandez
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• Eric Daniel Medina, M.D.
• Rafael Enrique Medina, OTR / L
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• Medpsych Consultants, PA
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• Durable Medical Equipment & Medical Supplies in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• 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.