David Corey Medical, LLC.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DAVID COREY MEDICAL, LLC.

Practice address

463688 State Road 200 Ste 200
Yulee, FL 32097-0304

Phone

(904) 261-1740

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. David Corey Staver

Title

Ceo

Phone

(904) 261-1740

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1952044885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463688 STATE ROAD 200 STE 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970304",
            "telephone_number": "904-261-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463688 STATE ROAD 200 STE 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970304",
            "telephone_number": "904-261-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID COREY MEDICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "STAVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-261-1740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@davidcoreymedical.com",
            "affiliation": "N",
            "endpointDescription": "Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "463688 State Road 200 Ste 200",
            "city": "Yulee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320970304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Cassidy Davis
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• Karlee Jeane De Haan, DDS

• Customized Equipment (DME) in Yulee, FL
• Providers in Yulee, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.