SS Fusion Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SS FUSION MEDICAL, INC.

Practice address

1525B the Greens Way
Jacksonville Beach, FL 32250-2449

Phone

(904) 285-3404

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Greg E Smith

Title

President

Phone

(904) 285-3404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1972802023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N SEA LAKE LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824756",
            "telephone_number": "904-285-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525B THE GREENS WAY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502449",
            "telephone_number": "904-285-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS FUSION MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-285-3404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.