PALM COAST MEDICAL SUPPLIES (NPI# 1598397242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598397242 |
| Entity Type | Organization |
| Organization Name | PALM COAST MEDICAL SUPPLIES |
| Practice Address |
1177 Hypoluxo Rd Lantana FL 33462-4244 |
| Practice Telephone | 9548579971 |
| Practice Fax Number | 9543021355 |
| Mailing Telephone | 9548579971 |
| Mailing Fax Number | 9543021355 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MICHAEL MONDELLI (PRESIDENT) |
| Authorized Official Telephone | 9548579971 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1177 HYPOLUXO RD |
| City | LANTANA |
| State | FL |
| Zip Code | 33462-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| 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 |
|---|---|---|---|---|
| 1508474180 | Proper Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1177 Hypoluxo Rd Ste 106, Lantana, FL 33462-4244 | 2020-07-20 |
| 1831711852 | Horizons Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 401 W Lantana Rd Ste 12, Lantana, FL 33462-1725 | 2020-05-13 |
| 1982243713 | Spearit Medical LLC | Durable Medical Equipment & Medical Supplies | 1177 Hypoluxo Rd Ste 207, Lantana, FL 33462-4244 | 2019-12-26 |
| 1093376345 | Defender-hq, LLC | Durable Medical Equipment & Medical Supplies | 1301 Fire Wheel Way, Lantana, TX 76226-5577 | 2019-06-27 |
| 1366927154 | A & E Medical Inc. | Durable Medical Equipment & Medical Supplies | 1111 Hypoluxo Rd Ste 203a, Lantana, FL 33462-4271 | 2018-09-27 |
| 1861938086 | Modern Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 1111 Hypoluxo Rd Ste 102, Lantana, FL 33462-4271 | 2017-01-11 |
| 1639579642 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7000 Justin Rd #fm407, Lantana, TX 76226 | 2014-08-27 |
| 1932445608 | Action Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 814 Lantana Rd, Suite 1, Lantana, FL 33462-1553 | 2012-12-27 |
| 1407137284 | Palm Beach Diabetic Supply, Inc. | Durable Medical Equipment & Medical Supplies | 814 W Lantana Rd, Suite 2, Lantana, FL 33462-1553 | 2011-09-07 |
| 1518061589 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 6950 S Congress Ave, Lantana, FL 33462-3700 | 2006-09-12 |
| Find all providers in LANTANA | ||||
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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.