CUSTOM MEDICAL SYSTEMS, INC. (NPI# 1710162912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710162912 |
| Entity Type | Organization |
| Organization Name | CUSTOM MEDICAL SYSTEMS, INC. |
| Practice Address |
404 10th Ave W Palmetto FL 34221-5032 |
| Practice Telephone | 9417223434 |
| Mailing Telephone | 9417223434 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | ALAN A. LOVESKY (OWNER/MGR) |
| Authorized Official Telephone | 9417223434 |
| Authorized Official Credential | A.T.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
542 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEVELOPMT DISAB WAIVER | 671444796 | 01 |
| FL | 028786500 | 05 | |
| FL | BRAIN & SPINAL WAIVER | 686838079 | 01 |
| FL | HOME & COMM. BASE WAIVER | 671444798 | 01 |
| FL | AGE & DIS PERSON WAIVER | 686628000 | 01 |
| Street Address |
404 10TH AVE W |
| City | PALMETTO |
| State | FL |
| Zip Code | 34221-5032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205853058 | Alan Anton Lovesky | Rehabilitation Counselor | 404 10th Ave W, Palmetto, FL 34221-5032 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355418 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 9520 Buffalo Road, Palmetto, FL 34221 | 2019-06-17 |
| 1326571514 | Jacquelyn Marques | Behavioral Analyst | 615 Riviera Dunes Way, Apt. #307, Palmetto, FL 34221 | 2017-04-05 |
| 1821539883 | Amy Nicole Charles | Contractor | 1603 72nd St. Ct. East, Palmetto, FL 34221 | 2017-03-10 |
| 1295045946 | Garcia Optometric Corp | Optometrist | 508 10th Street East, Palmetto, FL 34221 | 2010-10-15 |
| 1669668273 | Diamond Family Medicine Pllc Donita Kay Diamond Sole Mbr | Family Medicine | 102 Riviera Dunes Way, Palmetto, FL 34221 | 2007-09-18 |
| 1699970731 | J Scott Maloney | Dentist | 317 7th St W, Palmetto, FL 34221 | 2007-06-19 |
| 1669687612 | Eli Kolp | Psychiatry & Neurology | 1604 3rd Street Cir E, Palmetto, FL 34221 | 2007-05-13 |
| 1134341548 | Amanda L Nevin | Dentist | 707 7th Street West, Palmetto, FL 34221 | 2007-05-03 |
| 1669697298 | Jessica Ann Stellaci | Physical Therapist | The Kidspot 410 10th Ave W., Palmetto, FL 34221 | 2007-04-17 |
| 1417069261 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 627 10th Street East, Palmetto, FL 34221 | 2006-08-31 |
| Find all providers in zip 34221 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225173743 | Remedy Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 1335 10th St E, Suite A, Palmetto, FL 34221-4183 | 2007-02-21 |
| 1356412076 | Faith Paharmacy, Inc | Durable Medical Equipment & Medical Supplies | 575 10th St E, Palmetto, FL 34221-4013 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948129 | Heavenly Slayerz Boutique | Durable Medical Equipment & Medical Supplies | 6120 Forest Hill Blvd Apt 110, West Palm Beach, FL 33415-6260 | 2020-10-05 |
| 1649884297 | Dbl Mobility Care Inc | Durable Medical Equipment & Medical Supplies | 132 Sw Monterey Rd, Stuart, FL 34994-4610 | 2020-09-01 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1255956744 | Synergy Health Care and Associates | Durable Medical Equipment & Medical Supplies | 124 Marriott Dr, Tallahassee, FL 32301-2995 | 2020-06-10 |
| 1770118705 | New Regeneration Orthopedics of Florida, Pllc. | Durable Medical Equipment & Medical Supplies | 20754 W Dixie Hwy Unit 2c, Miami, FL 33180-1146 | 2020-03-10 |
| 1770118309 | 6th St. Bridge Mobility and Home Care LLC | Durable Medical Equipment & Medical Supplies | 7818 Depot Ln, Tampa, FL 33637-6810 | 2020-03-04 |
| 1033741681 | 123germfree, LLC | Durable Medical Equipment & Medical Supplies | 4537 Prime Ter, North Port, FL 34286-7707 | 2020-02-11 |
| 1053951632 | Somnia Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 205 Zeagler Dr Ste 301, Palatka, FL 32177-3860 | 2020-01-10 |
| 1700433067 | Beyoutiful Custom Wigs and Makeup | Durable Medical Equipment & Medical Supplies | 276 N Market Blvd, Webster, FL 33597-9441 | 2019-08-21 |
| 1437710688 | Myrna Rogers | Durable Medical Equipment & Medical Supplies | 11636 Linda Ln, Dade City, FL 33525-8405 | 2019-06-27 |
| 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.