MEDULTRA SUPPLIES, LLC (NPI# 1578836136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578836136 |
| Entity Type | Organization |
| Organization Name | MEDULTRA SUPPLIES, LLC |
| Practice Address |
1232 Falls Blvd Weston FL 33327-1723 |
| Practice Telephone | 5613421161 |
| Mailing Telephone | 5613421161 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | MR. SALOMON MIZRAHI (DIRECTOR) |
| Authorized Official Telephone | 5613421161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers |
| Street Address |
1232 FALLS BLVD |
| City | WESTON |
| State | FL |
| Zip Code | 33327-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003899 | Sofia Andreina Gonzalez | Behavioral Analyst | 1623 Blue Jay Circle, Weston, FL 33327 | 2018-11-26 |
| 1598190852 | Myriam Bellorin Taveras | Dentist | 1607 Pelermo Dr, Weston, FL 33327 | 2013-09-05 |
| 1982037677 | Pharmscript of Florida, LLC | Pharmacy | 15491 Sw 12th St, Suite 400, Sunrise, FL 33327 | 2013-08-16 |
| 1992006555 | House of Blessing Afch | Adult Companion | 851 Nandina Drive, Weston, FL 33327 | 2010-11-12 |
| 1225362254 | Innovative People Solution Inc | Pharmacy | 1189 Mahogany Lane, Weston, FL 33327 | 2009-09-23 |
| 1548470297 | Jesus Cuevas | Optometrist | 1608 Town Center Boulevard, Suite C, Weston, FL 33327 | 2007-05-23 |
| 1861573909 | William Paul Orr | Anesthesiologist Assistant | 1647 Palermo Dr, Weston, FL 33327 | 2006-10-17 |
| 1629003983 | Tabatha Lynn Quetgles | Nurse Practitioner | 1841 Harbor Pointe Circle, Weston, FL 33327 | 2006-07-12 |
| 1093740094 | Thomas Bernard Morrissey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Cordis Corp., 14440 Nw 60th Ave, Miami Lakes, FL 33327 | 2006-07-11 |
| 1689282139 | Bethany Fuller | Behavior Technician | 1411 Princess Anne, Weston, FL 33327 | 2020-07-21 |
| Find all providers in zip 33327 | ||||
| Taxonomy Code | 332BN1400X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Nursing Facility Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477027241 | Encompass Medical, LLC. | Durable Medical Equipment & Medical Supplies | 14253 Tamiami Trl, North Port, FL 34287-2215 | 2019-01-15 |
| 1669983631 | Sage Wage LLC | Durable Medical Equipment & Medical Supplies | Saybrook Rd Sw, Palm Bay, FL 32908-7129 | 2017-10-18 |
| 1700222528 | Amcar Group | Durable Medical Equipment & Medical Supplies | 342 Pike Rd, 19, West Palm Beach, FL 33411 | 2013-05-20 |
| 1902147291 | Saju Herbals Health and Wellness | Durable Medical Equipment & Medical Supplies | 3514 70th Gln E, Palmetto, FL 34221-7383 | 2013-03-12 |
| 1144568882 | Medical Care Management Group LLC | Durable Medical Equipment & Medical Supplies | 14884 Sw 41st Ter, Miami, FL 33185-4387 | 2013-01-30 |
| 1871817122 | John Bowman Dba/choice Medical Supply | Durable Medical Equipment & Medical Supplies | 6073 45th Ave N, Kenneth City, FL 33709-5106 | 2010-03-16 |
| 1811223415 | Jean-paul Albertelli | Durable Medical Equipment & Medical Supplies | 10121 Nw 13th St, Plantation, FL 33322-6529 | 2009-11-02 |
| 1447481668 | Fleximed Inc. | Durable Medical Equipment & Medical Supplies | 10100 Nw 116th Way Ste 18, Medley, FL 33178-1154 | 2009-08-05 |
| 1043418130 | Health and Globalenterprises | Durable Medical Equipment & Medical Supplies | 2175 Nw 23 Rd Court, Miami, FL 33142 | 2007-07-10 |
| 1427182419 | Xpress Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 10240 Sw 56 Street, Suite 103-d, Miami, FL 33165-7066 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
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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.