TRI-STATE MEDICAL GROUP LLC (NPI# 1023618592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023618592 |
| Entity Type | Organization |
| Organization Name | TRI-STATE MEDICAL GROUP LLC |
| Practice Address |
2621 N Federal Hwy Ste S Boca Raton FL 33431-7785 |
| Practice Telephone | 8006074491 |
| Practice Fax Number | 5617575850 |
| Mailing Telephone | 8006074491 |
| Mailing Fax Number | 5617575850 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Authorized Official Name | PETER MORDUKHAYEV (AUTHORIZED OFFICAL) |
| Authorized Official Telephone | 8006074491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2621 N FEDERAL HWY STE S |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-7785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1558988824 | Blueline Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2061 Nw 2nd Ave Ste 102, Boca Raton, FL 33431-6774 | 2020-07-02 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
Please comment or provide details below to improve the information on TRI-STATE MEDICAL GROUP 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.