MATRIX MEDICAL, LLC (NPI# 1932545993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932545993 |
| Entity Type | Organization |
| Organization Name | MATRIX MEDICAL, LLC |
| Practice Address |
56 S Dixie Hwy Ste 1 St Augustine FL 32084 |
| Mailing Address |
3325 Bartlett Blvd Orlando FL 32811-6428 |
| Practice Telephone | 9048291799 |
| Practice Fax Number | 9048290549 |
| Mailing Telephone | 4072060040 |
| Mailing Fax Number | 4072060010 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | MR. STEPHEN P GRIGGS (CEO) |
| Authorized Official Telephone | 4072060040 |
| Is Organization Subpart | Y |
| Parent Organization Name | AEROCARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015644300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316374366 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 5121 Bowden Rd Ste 302, Jacksonville, FL 32216 | 2013-10-07 |
| 1386755163 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 1101 Lake Harris Dr, Tavares, FL 32778 | 2006-08-31 |
| Street Address |
56 S DIXIE HWY STE 1 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1609138262 | Kristen Danielle Derouen | Occupational Therapist | 161 Marine Street, Suite A, St. Augustine, N/A 32084 | 2012-06-11 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497865950 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1731 Dobbs Rd, Suites 9 & 10, St Augustine, FL 32084-5251 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164283 | Florida Hospital Dme/rt, LLC | Durable Medical Equipment & Medical Supplies | 3715 Lake Center Dr, Mount Dora, FL 32757-2363 | 2020-08-14 |
| 1265055263 | Transox, Inc | Durable Medical Equipment & Medical Supplies | 5316 Lena Rd Ste 109, Bradenton, FL 34211-9438 | 2020-05-26 |
| 1285257436 | Trans Ox Inc | Durable Medical Equipment & Medical Supplies | 7343 Nw 54th St, Miami, FL 33166-4831 | 2020-05-22 |
| 1649819921 | Jared Rubin | Durable Medical Equipment & Medical Supplies | 6810 N State Road 7 Ste 137b, Coconut Creek, FL 33073-4304 | 2020-01-03 |
| 1225686900 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 33853 Sr 54 Ste 101, Zephyrhills, FL 33543-9105 | 2019-08-27 |
| 1811549108 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 8520 4th St N, St Petersburg, FL 33702-3102 | 2019-07-16 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1336613116 | Buffalo Wheelchair Inc | Durable Medical Equipment & Medical Supplies | 7723 Collier Blvd Unit 302, Naples, FL 34114-2771 | 2019-01-15 |
| 1609344647 | Special Care Medical of Sc, Inc. | Durable Medical Equipment & Medical Supplies | 5316 Lena Rd Ste 107, Bradenton, FL 34211-9438 | 2018-11-07 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on MATRIX MEDICAL, LLC.
| 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.