Ez Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EZ SUPPLY

Practice address

809 West Central Blvd
Cape Canevaral, FL 32920

Phone

(561) 721-5302

Fax

(186) 632-2732

NPI assigned

Jun 3, 2010

Last updated

Jul 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cinthia Totka

Title

President

Phone

(561) 721-5302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1942520739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 20TH LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183566",
            "telephone_number": "561-721-5302",
            "fax_number": "866-699-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WEST CENTRAL BLVD",
            "city": "CAPE CANEVARAL",
            "state": "FL",
            "postal_code": "32920",
            "telephone_number": "561-721-5302",
            "fax_number": "186-632-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "TOTKA",
        "authorized_official_first_name": "CINTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-721-5302"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.