West Palm Beac Medical Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WEST PALM BEAC MEDICAL SUPPLIES LLC

Practice address

902 Clint Moore Road
Ste 144
Boca Raton, FL 33487

Phone

(561) 826-8955

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Bennett Augustino

Title

Member Manager

Phone

(561) 826-8955

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1972064475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE ROAD",
            "address_2": "STE 144",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-826-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE ROAD",
            "address_2": "STE 144",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33487",
            "telephone_number": "561-826-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PALM BEAC MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "AUGUSTINO",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "561-826-8955"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Boca Health Services, LLC
• West Boca Medical Center, Inc.
• West Boca Physicians Group Inc
• West Boca Wellness Ctr P.a.
• West Coast Dental Partners
• West Palm Beach Physician Group Inc
• West Palm Beach Vamc
• West Palm Home Health Inc
• West Palm Uvc Medical PLLC
• Danielle Kathleen West, LCSW

• All providers in Boca Raton, FL
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.