MTR MEDICAL SUPPLY INC. (NPI# 1710120464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710120464 |
| Entity Type | Organization |
| Organization Name | MTR MEDICAL SUPPLY INC. |
| Practice Address |
3363 Sheridan St Suite 212 Hollywood FL 33021-3664 |
| Mailing Address |
3389 Sheridan St 547 Hollywood FL 33021-3606 |
| Practice Telephone | 9544565600 |
| Practice Fax Number | 9548941818 |
| Mailing Telephone | 9544565600 |
| Mailing Fax Number | 9548941818 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | MR. TODD ROSENTHAL (OWNER/ GENERAL MANAGER) |
| Authorized Official Telephone | 9544565600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1313559 | FL | Suppliers |
| Street Address |
3363 SHERIDAN ST SUITE 212 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442236 | Robert A Green | Psychologist | 3363 Sheridan St, Ste 209, Hollywood, FL 33021-3664 | 2005-10-24 |
| 1679602387 | Peilan Yao | Acupuncturist | 3363 Sheridan St, Suite 214, Hollywood, FL 33021-3658 | 2007-03-06 |
| 1174670863 | Rafael Segundo Briceno | Family Medicine | 3363 Sheridan St, Suite 207, Hollywood, FL 33021-3664 | 2007-01-04 |
| 1306862297 | Randy Levine | Psychologist | 3363 Sheridan St, Suite 209, Hollywood, FL 33021-3664 | 2006-07-14 |
| 1518923812 | Farrar Valine Duro | Acupuncturist | 3363 Sheridan St, Suite 214, Hollywood, FL 33021-3664 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1508472986 | Health First Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 7777 Davie Road Ext Ste 302a-5, Hollywood, FL 33024-2513 | 2020-09-21 |
| 1184230567 | Medic Supply Corp | Durable Medical Equipment & Medical Supplies | 7777 Davie Road Ext Ste 302a-8, Hollywood, FL 33024-2513 | 2020-09-21 |
| 1477169340 | Premier Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2028 Harrison St Ste 201-8, Hollywood, FL 33020-7845 | 2020-09-16 |
| 1477171023 | Precise Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 6100 Hollywood Blvd Ste 521, Hollywood, FL 33024-7900 | 2020-07-10 |
| 1588281372 | Select Med Supply LLC | Durable Medical Equipment & Medical Supplies | 6067 Hollywood Blvd Ste 204, Hollywood, FL 33024-7877 | 2020-06-29 |
| 1376165951 | Afc Medical Devices LLC | Durable Medical Equipment & Medical Supplies | 1940 Harrison St Ste 306, Hollywood, FL 33020-5181 | 2020-05-18 |
| 1154967529 | Samantha Nunez | Durable Medical Equipment & Medical Supplies | 2640 Hollywood Blvd Ste 209, Hollywood, FL 33020-4858 | 2019-11-20 |
| 1376109611 | Promptcare Florida, Inc. | Durable Medical Equipment & Medical Supplies | 2131 Hollywood Blvd Ste A, Hollywood, FL 33020-6759 | 2019-05-13 |
| 1619434115 | In Motion Medical LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 216, Hollywood, FL 33020-4538 | 2019-02-21 |
| 1003384470 | Yanca Group Inc | Durable Medical Equipment & Medical Supplies | 9329 Sheridan St, Hollywood, FL 33024-8560 | 2018-11-05 |
| Find all providers in HOLLYWOOD | ||||
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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.