Organization Active NPI

Med-Go Medical Supplies & Resource Center

  • Oxygen Equipment & Supplies (DME)
  • Fruitland Park, FL
National Provider Identifier
1962111898
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MED-GO MEDICAL SUPPLIES & RESOURCE CENTER
Practice address
2468 US Highway 441/27 Ste 202
Fruitland Park, FL 34731-2149
Phone
(352) 901-6083
Fax
(352) 801-7427
NPI assigned
Nov 18, 2022
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Lovella Ward
Title
Director
Phone
(352) 901-6083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

2468 US Highway 441/27 Ste 202
Fruitland Park, FL 34731-2149

Mailing address

2468 US Highway 441/27 Ste 202
Fruitland Park, FL 34731-2149
Phone (352) 901-6083

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL medgosupplies@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1962111898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 US HIGHWAY 441/27 STE 202",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347312149",
            "telephone_number": "352-901-6083",
            "fax_number": "352-801-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 US HIGHWAY 441/27 STE 202",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347312149",
            "telephone_number": "352-901-6083",
            "fax_number": "352-801-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-GO MEDICAL SUPPLIES & RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "LOVELLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-901-6083"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "medgosupplies@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2468 US Highway 441/27 Ste 202",
            "city": "Fruitland Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347312149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruitland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.