Medical Supplies Distributor, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SUPPLIES DISTRIBUTOR, INC.

Practice address

1001 NW 62ND St
Ste 302W, Building 3
Fort Lauderdale, FL 33309-1900

Phone

(943) 351-2445

NPI assigned

Mar 21, 2007

Last updated

Mar 7, 2008By 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

Mr. Harold Tejeda

Title

Director

Phone

(954) 351-2445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1952427908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 62ND ST",
            "address_2": "STE 302W, BUILDING 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091900",
            "telephone_number": "943-351-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NW 62ND ST",
            "address_2": "STE 302W, BUILDING 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091900",
            "telephone_number": "943-351-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLIES DISTRIBUTOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-351-2445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.