Organization Active NPI

Suntrust Technologies LLC

  • Durable Medical Equipment & Medical Supplies
  • Weston, FL
National Provider Identifier
1922816958
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUNTRUST TECHNOLOGIES LLC
Doing business as
Suntrust Technologies LLC
Practice address
2645 Executive Park Dr
Weston, FL 33331-3624
Phone
(754) 226-5774
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Sushma Banala
Title
Owner
Phone
(754) 226-5774

Specialties & licenses 1

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

Addresses

Primary practice location

2645 Executive Park Dr
Weston, FL 33331-3624

Mailing address

2645 Executive Park Dr
Weston, FL 33331-3624

Other names 1

  • Suntrust Technologies LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1922816958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 EXECUTIVE PARK DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313624",
            "telephone_number": "754-226-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNTRUST TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "BANALA",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-226-5774"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suntrust Technologies LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.