FLORIDA BLVD MEDICAL SUPPLY INC. (NPI# 1124173232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124173232 |
| Entity Type | Organization |
| Organization Name | FLORIDA BLVD MEDICAL SUPPLY INC. |
| Practice Address |
710 W Prien Lake Rd 108 Lake Charles LA 70601-8349 |
| Practice Telephone | 3374790013 |
| Practice Fax Number | 3374790014 |
| Mailing Telephone | 3374790013 |
| Mailing Fax Number | 3374790014 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PRINCE N OJI (ADMIN OFFICER) |
| Authorized Official Telephone | 3374790013 |
| Authorized Official Credential | HEALTH PROFFESIO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
3765864-001 | LA | Suppliers |
| Street Address |
710 W PRIEN LAKE RD 108 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942735170 | Jamie Culton | Counselor | 710 W Prien Lake Rd, Ste 103, Lake Charles, LA 70601-8349 | 2017-04-25 |
| 1588016711 | Santora Thomas | Counselor | 710 W Prien Lake Rd, Suite 103, Lake Charles, LA 70601-8349 | 2016-07-12 |
| 1164819546 | Regional Healthcare Services - Southwest, LLC | In Home Supportive Care | 710 W Prien Lake Rd, Lake Charles, LA 70601-8349 | 2015-04-23 |
| 1104235647 | Sharon Prudhomme | Social Worker | 710 W Prien Lake Rd, Suite 212, Lake Charles, LA 70601-8349 | 2014-08-08 |
| 1568701167 | Anne M Chrisoulis | Counselor | 710 W Prien Lake Rd, Suite 103, Lake Charles, LA 70601-8349 | 2013-02-04 |
| 1063730810 | Sleep Management LLC | Durable Medical Equipment & Medical Supplies | 710 W Prien Lake Rd, Suite 103, Lake Charles, LA 70601-8350 | 2010-05-04 |
| 1528210424 | Pdi of The South, Inc | Home Health | 710 W Prien Lake Rd, Suite 100, Lake Charles, LA 70601-8349 | 2008-10-22 |
| 1255502282 | Pdi of The South, Inc. | Home Health | 710 W Prien Lake Rd, Ste 100, Lake Charles, LA 70601-8349 | 2008-03-18 |
| 1205019775 | Pdi of The South Inc | Home Health | 710 W Prien Lake Rd, Ste 100, Lake Charles, LA 70601-8349 | 2007-12-07 |
| 1679756142 | Pdi of The South Inc | Home Health | 710 W Prien Lake Rd, Ste 100, Lake Charles, LA 70601-8349 | 2007-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477579753 | Home Care Supply LLC | Durable Medical Equipment & Medical Supplies | 1830 Ryan St, Lake Charles, LA 70601-6000 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669019832 | The Mane Collection, LLC | Durable Medical Equipment & Medical Supplies | 2666 Halsey Ave, New Orleans, LA 70114-6814 | 2019-12-05 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1376188557 | Independence Health Corp., LLC | Durable Medical Equipment & Medical Supplies | 120 Rue Beauregard Ste 206, Lafayette, LA 70508-3129 | 2019-11-12 |
| 1760988273 | Essential Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3605 Mcvea Street, Baker, LA 70714-3518 | 2018-04-03 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1467975623 | Safe and Sound Hearing LLC | Durable Medical Equipment & Medical Supplies | 1101 S College Rd Ste 40, Lafayette, LA 70503-3038 | 2017-07-19 |
| 1720523939 | Smile Dental Center | Durable Medical Equipment & Medical Supplies | 2015 E 70th St, Shreveport, LA 71105-5305 | 2016-12-23 |
| 1275075855 | A2z Home Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 333 Texas St Ste 1300, Shreveport, LA 71101-3666 | 2016-11-14 |
| 1669920260 | Wheely Life, LLC | Durable Medical Equipment & Medical Supplies | 230 Fairwood Dr, Broussard, LA 70518-4898 | 2016-09-13 |
| 1952757890 | Leo Savoie Cpo | Durable Medical Equipment & Medical Supplies | 113 Elizabeth Ave, River Ridge, LA 70123-1807 | 2016-05-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.