PREFERRED MEDICAL GROUP (NPI# 1609936921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609936921 |
| Entity Type | Organization |
| Organization Name | PREFERRED MEDICAL GROUP |
| Practice Address |
1633 Southwind Dr Brandon FL 33510-2048 |
| Mailing Address |
Po Box 2255 Mango FL 33550-2255 |
| Practice Telephone | 8136893140 |
| Mailing Telephone | 8136893140 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | MR. WAYNE STEPHEN BROCKMAN SR. (OWNER) |
| Authorized Official Telephone | 8136893140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1633 SOUTHWIND DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| 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 |
|---|---|---|---|---|
| 1427667781 | Janz Medical Supply | Durable Medical Equipment & Medical Supplies | Building 998 Boston Rd, Brandon, ENGLAND IP27 9PN | 2020-07-23 |
| 1407333719 | Graceful Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 220 W Brandon Blvd Ste 206, Brandon, FL 33511-5100 | 2018-07-20 |
| 1942673850 | Brent Walters | Durable Medical Equipment & Medical Supplies | 308 Deer Holw, Brandon, MS 39047-6468 | 2015-11-02 |
| 1306245618 | Datin Medical Supply | Durable Medical Equipment & Medical Supplies | 2151 Highway 18 Ste E, Brandon, MS 39042-2492 | 2014-08-22 |
| 1275958423 | Datin Medical Supply | Durable Medical Equipment & Medical Supplies | 2151 Highway 18, Brandon, MS 39042-2492 | 2014-02-25 |
| 1972927622 | Orthotic & Prosthetic Centers, Inc. | Durable Medical Equipment & Medical Supplies | 320 Oakfield Dr Ste C, Brandon, FL 33511-5742 | 2014-02-14 |
| 1508289000 | Matthew Lay Davis | Durable Medical Equipment & Medical Supplies | 73 Glenway Pl, Brandon, MS 39042-2530 | 2014-02-04 |
| 1336434315 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 901 Lithia Pinecrest Rd, Brandon, FL 33511-6120 | 2011-06-17 |
| 1952603789 | Easycare Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 210 S Kings Ave, Unit L, Brandon, FL 33511-5705 | 2010-11-30 |
| 1427389873 | Constance Schene Washington | Durable Medical Equipment & Medical Supplies | 450 Pecan Cir, Brandon, MS 39042-7403 | 2010-01-25 |
| Find all providers in BRANDON | ||||
Please comment or provide details below to improve the information on PREFERRED MEDICAL GROUP.
| 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.