Rudy Ryan Inc Dba Modern Medical Products

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

981 Issued in FL

Legal business name

RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS

Doing business as

Modern Medical Products

Practice address

2412 Lakeland Hills Blvd
Lakeland, FL 33805

Phone

(863) 680-2010

Fax

(863) 680-1870

NPI assigned

Nov 17, 2006

Last updated

Jul 30, 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

Ms. Sandra J Short

Title

President

Phone

(863) 680-2010

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Modern Medical Products Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1972676682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805",
            "telephone_number": "863-680-2010",
            "fax_number": "863-680-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805",
            "telephone_number": "863-680-2010",
            "fax_number": "863-680-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-680-2010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "981",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "950845700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Medical Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RRR Dentistry Lakeland, PLLC (Lakeland Implant and Cosmetic Dentistry)
• RS Puri MD PA
• Ru Wellness Retreat
• Christopher A Rubadue, MD
• Jessica Rudolph
• Anna Ruehl, PHARMD
• Abigail Ruffi
• Rodshawn Ruffin
• Sarahi Ruiz Alvarez
• Jonairis Ruiz Negron

• Durable Medical Equipment & Medical Supplies in Lakeland, FL
• Providers in Lakeland, 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 Jul 30, 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.