Southeast Medical Supplies Center Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHEAST MEDICAL SUPPLIES CENTER INC

Practice address

11601 Biscayne Blvd Ste 209
Miami, FL 33181-3151

Phone

(305) 713-0138

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Diana Teresa Jaime

Title

Owner

Phone

(305) 713-0138

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1972266344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 BISCAYNE BLVD STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813151",
            "telephone_number": "786-332-2897",
            "fax_number": "786-334-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 BISCAYNE BLVD STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813151",
            "telephone_number": "305-713-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL SUPPLIES CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "JAIME",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-713-0138"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Southby
• Southdade Health Services
• Southdade Wellness, Inc
• Southeast Diagnostic Consultants, LLC (Southeast Neurology, LLC)
• Southeast Medical Lab Inc
• Southeast Physician Associates 1, LLC.
• Southeast Physician Associates Inc
• Southeast Urgent Care Group, Inc.
• Southeast Woundcare Experts LLC
• Southeastern Community Mental Health Center Inc

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.