ACTIVE MEDICAL SOLUTIONS, INC (NPI# 1477580777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477580777 |
| Entity Type | Organization |
| Organization Name | ACTIVE MEDICAL SOLUTIONS, INC |
| Practice Address |
310 S Palm Ave Ste 5 Palatka FL 32177-4161 |
| Practice Telephone | 3863281093 |
| Practice Fax Number | 3863281426 |
| Mailing Telephone | 3863281093 |
| Mailing Fax Number | 3863281426 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | JARED SCRAY (OWNER) |
| Authorized Official Telephone | 3863281093 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS | R9736 | 01 |
| Street Address |
310 S PALM AVE STE 5 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-4161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841488806 | Alphamed LLC | Durable Medical Equipment & Medical Supplies | 4109 Crill Ave, Palatka, FL 32177-8559 | 2007-10-04 |
| 1891803623 | Apria Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 3208 Crill Ave, Suite 3, Palatka, FL 32177-4159 | 2006-08-29 |
| 1043225246 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 719 S State Road 19, Palatka, FL 32177-3946 | 2006-07-29 |
| 1033130331 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 901 S Highway 19, Palatka, FL 32177-9397 | 2006-07-21 |
| 1497772701 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1024 S State Road 19, Palatka, FL 32177-9000 | 2006-07-16 |
| 1730176017 | Integrated Community Oncology Network LLC | Durable Medical Equipment & Medical Supplies | 600 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2005-10-03 |
| 1770867301 | St. Augustine Physician Associates, Inc | Durable Medical Equipment & Medical Supplies | 905 Saint Johns Ave, Palatka, FL 32177-4649 | 2011-09-30 |
| 1518004316 | Culpepper Harrell, Inc | Durable Medical Equipment & Medical Supplies | 610 Zeagler Dr, Palatka, FL 32177-3811 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225047 | Halo Florida Dme LLC | Durable Medical Equipment & Medical Supplies | 710 Pondella Rd Ste 4, North Fort Myers, FL 33903-5730 | 2020-11-05 |
| 1033710249 | Harmony Home Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 6625 Miami Lakes Dr E Ste 319, Miami Lakes, FL 33014-2705 | 2020-11-04 |
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1548861990 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2135 Everglades Ln, The Villages, FL 32163-1037 | 2020-11-03 |
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1659972016 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 5140 County Line Rd, Lakeland, FL 33811-1706 | 2020-11-03 |
| 1891396248 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 205 Rivertown Shops Dr, Saint Johns, FL 32259-7476 | 2020-11-03 |
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1265033591 | Acqualina Health Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 12955 Biscayne Blvd Ste 322, North Miami, FL 33181-2022 | 2020-11-03 |
| 1083215511 | Supplies Plus Fl Inc | Durable Medical Equipment & Medical Supplies | 223 Island Way Apt 5f, Clearwater Beach, FL 33767-2254 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ACTIVE MEDICAL SOLUTIONS, INC.
| 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.