MEDISOURCE CORP (NPI# 1922032275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922032275 |
| Entity Type | Organization |
| Organization Name | MEDISOURCE CORP |
| Practice Address |
7025 Beracasa Way Suite 102b Boca Raton FL 33433-3443 |
| Mailing Address |
7040 W Palmetto Park Rd #4-575 Boca Raton FL 33433-3407 |
| Practice Telephone | 5613619604 |
| Practice Fax Number | 5613945186 |
| Mailing Telephone | 5613619604 |
| Mailing Fax Number | 5613945186 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANN ARBEITMAN (VP) |
| Authorized Official Telephone | 5613619604 |
| Authorized Official Credential | VP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1065190001 | FL | Suppliers |
| Street Address |
7025 BERACASA WAY SUITE 102B |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33433-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139650 | Ellen Frances Price | Psychologist | 7025 Beracasa Way, Suite 102c, Boca Raton, FL 33433-3443 | 2005-07-28 |
| 1053794883 | Psychotherpay and Creativity Center of Boca Raton LLC | Clinic/Center | 7025 Beracasa Way, Suite 102-a, Boca Raton, FL 33433-3443 | 2015-06-29 |
| 1003195280 | All Star Rehabilitation, Inc | Case Management | 7025 Beracasa Way, Suite 104a, Boca Raton, FL 33433-3443 | 2011-08-05 |
| 1871822213 | Quality Podiatry Group of Fl Ltd | Podiatrist | 7025 Beracasa Way, Unit #102-g, Boca Raton, FL 33433-3428 | 2009-12-14 |
| 1891936225 | Elizabeth Laquidara Phd Pa | Psychologist | 7025 Beracasa Way, 102 B, Boca Raton, FL 33433-3443 | 2009-03-16 |
| 1639386949 | Ors Health Care Services Inc | Medical Genetics, Ph.D. Medical Genetics | 7025 Beracasa Way, Suite 202 A&c, Boca Raton, FL 33433-3443 | 2007-05-17 |
| 1285794313 | Life Quality Rehabilitative Services Inc. | Clinic/Center | 7025 Beracasa Way, Suite #101, Boca Raton, FL 33433-3443 | 2006-12-11 |
| 1770522039 | Alex Schuessler | Dentist | 7025 Beracasa Way, Boca Raton, FL 33433-3443 | 2006-06-05 |
| 1366496291 | Elizabeth Laquidara | Psychologist | 7025 Beracasa Way, 102 B, Boca Raton, FL 33433-3443 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830785 | Keith Marley Thompson | Behavior Technician | 6885 B-5 Sw 18th St., Boca Raton, FL 33433 | 2020-10-26 |
| 1467084921 | Jessica Lori Woytanowski | Speech-Language Pathologist | 21345 Powerline Rd, Boca Raton, FL 33433 | 2020-02-12 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1124667993 | Melanie Simon | Occupational Therapist | 21345 South Powerline Rd, Suite 100, Boca Raton, FL 33433 | 2019-12-27 |
| 1386288629 | Lisheyna S Hurvitz | Counselor | 22715 Camino Del Mar, # 35, Boca Raton, FL 33433 | 2019-10-30 |
| 1982253076 | Monika La Nuez, Lcsw, LLC | Social Worker | 6919 Sw 18th Street, Suite 200-239, Boca Raton, FL 33433 | 2019-09-10 |
| 1336795731 | United Spectrum Center | Day Training, Developmentally Disabled Services | 3845 West Hillsboro Blvd, Deefield Beach, FL 33433 | 2019-08-13 |
| 1780147678 | Teleemc LLC | Clinic/Center | 21346 St. Andrews Blvd., Suite 195, Boca Raton, FL 33433 | 2019-04-09 |
| 1619446283 | Meryl Zigila | Occupational Therapist | 6327 Via De Sunrisa Del Sur, Boca Raton, FL 33433 | 2018-11-13 |
| 1730665522 | Prissy Graciela Rampaly Rangel | Physician Assistant | 23090 Post Gardens Way Apt 307, Boca Raton, FL 33433 | 2018-07-14 |
| Find all providers in zip 33433 | ||||
| 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 |
|---|---|---|---|---|
| 1023618592 | Tri-state Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2621 N Federal Hwy Ste S, Boca Raton, FL 33431-7785 | 2020-10-26 |
| 1679171912 | Excellence Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 139, Boca Raton, FL 33432-1808 | 2020-10-09 |
| 1588262828 | Pegasus Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 4400 N Federal Hwy Ste 34, Boca Raton, FL 33431-3423 | 2020-10-09 |
| 1316554942 | Golden Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 112, Boca Raton, FL 33432-1807 | 2020-09-28 |
| 1124635800 | Md Health Source Inc | Durable Medical Equipment & Medical Supplies | 370 Camino Gardens Blvd Ste 210b, Boca Raton, FL 33432-5818 | 2020-09-28 |
| 1982211983 | Medstarr Health Supplies Inc | Durable Medical Equipment & Medical Supplies | 5301 N Federal Hwy Ste 275a, Boca Raton, FL 33487-4919 | 2020-09-24 |
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1750990339 | Us Med Savers Inc | Durable Medical Equipment & Medical Supplies | 4730 Nw 2nd Ave Ste 201, Boca Raton, FL 33431-4169 | 2020-07-29 |
| 1598382681 | Bestlife Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2601 Nw 2nd Ave, Suite 207, Boca Raton, FL 33431-6774 | 2020-07-06 |
| 1730706896 | Bestlife Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 118, Boca Raton, FL 33432-1807 | 2020-07-06 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33433 |
Please comment or provide details below to improve the information on MEDISOURCE CORP.
| 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.