SOUTHEAST MED SUPPLIES LLC (NPI# 1881082865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881082865 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MED SUPPLIES LLC |
| Practice Address |
4730 N Habana Ave Suite 204 Tampa FL 33614-7163 |
| Practice Telephone | 8135492134 |
| Practice Fax Number | 8138701383 |
| Mailing Telephone | 8135492134 |
| Mailing Fax Number | 8138701383 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | RODOLFO GARI (PRESIDENT/CHAIRMAN) |
| Authorized Official Telephone | 8135492134 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4730 N HABANA AVE SUITE 204 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851359301 | Mauricio Orbegozo | Anesthesiology | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2006-05-03 |
| 1619421765 | Florida Pain Relief Group Pllc | Nurse Practitioner | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2016-08-06 |
| 1356895403 | Florida Pain Relief Group Pllc | Nurse Practitioner | 4730 N Habana Ave, Ste 300, Tampa, FL 33614-7163 | 2016-08-06 |
| 1518313808 | Cheri Bellenger | Nurse Practitioner | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2016-05-05 |
| 1144687245 | Anesthesia Professional Group LLC | Nurse Anesthetist, Certified Registered | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2016-01-20 |
| 1942671680 | Eric Allen Shelton | Physician Assistant | 4730 N Habana Ave, Ste 104, Tampa, FL 33614-7163 | 2015-10-07 |
| 1932581071 | Physician Partners of America Florida Medical Holdings LLC | Physical Medicine & Rehabilitation | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2015-06-25 |
| 1487045407 | Doctors Imaging LLC | Clinic/Center | 4730 N Habana Ave, Suite 204, Tampa, FL 33614-7163 | 2015-02-12 |
| 1679970941 | Orthopaedic Specialists of Miami, Pllc | Orthopaedic Surgery | 4730 N Habana Ave, Suite 104, Tampa, FL 33614-7163 | 2014-12-02 |
| 1225434293 | National Medical Practices of Florida Pllc | Orthopaedic Surgery | 4730 N Habana Ave, Suite 300, Tampa, FL 33614-7163 | 2014-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| 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 |
|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1568072536 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 4315 W Gandy Blvd, Tampa, FL 33611-3405 | 2020-08-05 |
| 1215551239 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 7703 Anderson Rd, Tampa, FL 33634-3039 | 2020-06-05 |
| 1811517758 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1120 E Kennedy Blvd Unit 126, Tampa, FL 33602-3581 | 2020-04-21 |
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1659919942 | Axis Physical Therapy Inc | Durable Medical Equipment & Medical Supplies | 4013 N Armenia Ave, Tampa, FL 33607-1001 | 2019-12-17 |
| 1891333449 | Wound Pros Florida | Durable Medical Equipment & Medical Supplies | 15310 Amberly Drive, Suite 250, Tampa, FL 33647-1642 | 2019-12-13 |
| 1114562873 | Anova Healthcare LLC | Durable Medical Equipment & Medical Supplies | 10329 Cross Creek Blvd Ste N, Tampa, FL 33647-2994 | 2019-11-16 |
| 1033768205 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 4900 W Kennedy Blvd, Tampa, FL 33609-1802 | 2019-09-10 |
| 1699337980 | Natchez Healthcare LLC | Durable Medical Equipment & Medical Supplies | 7042 W Hillsborough Ave, Tampa, FL 33634-4948 | 2019-07-08 |
| Find all providers in TAMPA | ||||
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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.