MR. RALPH EDWARD PENDERGRAPH II (NPI# 1851505481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851505481 |
| Entity Type | Individual |
| Full Name | MR. RALPH EDWARD PENDERGRAPH II |
| Practice Address |
5230 N Orange Blossom Trl #306 Orlando FL 32810-4769 |
| Practice Telephone | 4079265006 |
| Mailing Telephone | 4079265006 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers |
| Street Address |
5230 N ORANGE BLOSSOM TRL #306 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-4769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| 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 |
|---|---|---|---|---|
| 1679181663 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 6925 Lake Ellenor Dr Ste 200, Orlando, FL 32809-4600 | 2020-07-16 |
| 1285250480 | First United Medical LLC | Durable Medical Equipment & Medical Supplies | 7200 Lake Ellenor Dr Ste 108, Orlando, FL 32809-5786 | 2020-06-23 |
| 1548885460 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11619 Daryl Carter Parkway, Orlando, FL 32821 | 2020-06-16 |
| 1376165415 | Caremark Medical | Durable Medical Equipment & Medical Supplies | 11333 Lake Underhill Rd Ste 105, Orlando, FL 32825-4464 | 2020-05-12 |
| 1235767203 | Iris Santiago | Durable Medical Equipment & Medical Supplies | 11240 S Orange Blossom Trl # 11240, Orlando, FL 32837-9428 | 2020-03-27 |
| 1750914826 | Medical Equipment and Supplies of America LLC | Durable Medical Equipment & Medical Supplies | 6848 Hoffner Ave Unit 4, Orlando, FL 32822-3582 | 2020-02-18 |
| 1336788603 | Healthstyle Therapeutix, LLC | Durable Medical Equipment & Medical Supplies | 7061 Grand National Dr Ste 107a, Orlando, FL 32819-8962 | 2020-01-03 |
| 1952969867 | Medina International, LLC | Durable Medical Equipment & Medical Supplies | 5020 Ashmeade Rd, Orlando, FL 32810-1829 | 2019-06-05 |
| 1306404124 | Medton Advanced Group, LLC | Durable Medical Equipment & Medical Supplies | 3203 Lawton Rd Ste 151, Orlando, FL 32803-2955 | 2019-06-05 |
| 1356908883 | Millennial Medical Supplies & Equipment LLC | Durable Medical Equipment & Medical Supplies | 5425 S Semoran Blvd Ste 1a, Orlando, FL 32822-1751 | 2019-05-21 |
| Find all providers in ORLANDO | ||||
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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.