SOUTHEASTERN MEDICAL SUPPLY INC (NPI# 1578568176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578568176 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN MEDICAL SUPPLY INC |
| Practice Address |
3615 Century Blvd Unit #1 Lakeland FL 33811 |
| Practice Telephone | 8639658856 |
| Practice Fax Number | 8635511777 |
| Mailing Telephone | 8639658856 |
| Mailing Fax Number | 8635511777 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | ELEANOR MARIE METHOT (PRESIDENT) |
| Authorized Official Telephone | 8639658856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386679009 | Southeastern Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1024 Wildwood Centre Dr, Suite A, Columbia, SC 29229-8400 | 2006-07-11 |
| Street Address |
3615 CENTURY BLVD UNIT #1 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910200 | Darielle Shanette Berrian | Assisted Living Facility | 1548 Georgetown Dr, Lakeland, FL 33811 | 2020-07-23 |
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1356870703 | Jeanette Michelle Edmonds | Psychologist | 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 | 2017-06-08 |
| 1932353406 | Monique L Lisowski | Dietitian, Registered | 4231 South Pipkin Road, Lakeland, FL 33811 | 2008-11-11 |
| 1306987029 | Lifesavers Home Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 | 2007-02-08 |
| 1518010305 | Kirk Randall Smith | Nurse Practitioner | 1475 Airport Road, Lakeland, FL 33811 | 2007-01-18 |
| 1225279318 | Affordable Transport Inc. | Non-emergency Medical Transport (VAN) | 3706 Dmg Dr, Lakeland, FL 33811-1043 | 2009-03-18 |
| 1457747875 | Candace Borders | Physical Therapy Assistant | 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 | 2015-04-13 |
| 1962849729 | Angelica Monteverde | Counselor | 3121 Filly Ln, Lakeland, FL 33811-1080 | 2013-06-03 |
| 1821440686 | Claudia White Borders | Counselor | 3058 Sire Trl, Lakeland, FL 33811-1090 | 2016-07-05 |
| Find all providers in zip 33811 | ||||
| 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 |
|---|---|---|---|---|
| 1659972016 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 5140 County Line Rd, Lakeland, FL 33811-1706 | 2020-11-03 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1376039032 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 2316 Lakeland Hills Blvd, Lakeland, FL 33805-2910 | 2018-07-06 |
| 1649768540 | Vraj Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1228 W Daughtery Rd, Lakeland, FL 33810-3293 | 2018-04-25 |
| 1720432040 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1831 Gilmore Ave Ste 1, Lakeland, FL 33805-3017 | 2016-04-22 |
| 1326442294 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 142 S Valdosta Rd, Lakeland, GA 31635-1576 | 2014-10-21 |
| 1093148199 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1324 Lakeland Hills Blvd Ste 203, Lakeland, FL 33805-4543 | 2013-08-13 |
| 1841577640 | Evercare Inc | Durable Medical Equipment & Medical Supplies | 1611 N Florida Ave, Lakeland, FL 33805-3107 | 2011-11-08 |
| 1720374358 | Shelton Technologies and Resources, LLC. | Durable Medical Equipment & Medical Supplies | 322 E Pine St, Lakeland, FL 33801-4969 | 2011-06-22 |
| 1528368578 | New Beginnings Medical Supply | Durable Medical Equipment & Medical Supplies | 745 Creative Dr, E01, Lakeland, FL 33813-2960 | 2010-10-25 |
| Find all providers in LAKELAND | ||||
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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.