SOURCE MEDICAL SERVICES LLC (NPI# 1912405010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912405010 |
| Entity Type | Organization |
| Organization Name | SOURCE MEDICAL SERVICES LLC |
| Practice Address |
3801 Sw 47th Ave Ste 502 Davie FL 33314-2816 |
| Practice Telephone | 9544442961 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Authorized Official Name | LOUIS D BIANCO (PRESIDENT) |
| Authorized Official Telephone | 6784921492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3801 SW 47TH AVE STE 502 |
| City | DAVIE |
| State | FL |
| Zip Code | 33314-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
| 1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
| 1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
| 1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
| 1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
| 1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
| 1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
| 1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
| 1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
| 1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
| Find all providers in zip 33314 | ||||
| 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 |
|---|---|---|---|---|
| 1588297824 | Sure Medical Solutions Inc | Durable Medical Equipment & Medical Supplies | 7200 Griffin Rd Ste 3c, Davie, FL 33314-4144 | 2020-02-14 |
| 1649823121 | Pinnacle Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2071 Sw 70th Ave Ste G4, Davie, FL 33317-7346 | 2019-07-23 |
| 1063075539 | Advanced Solutions Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 5400 S University Dr Ste 416b, Davie, FL 33328-5313 | 2019-04-19 |
| 1255802427 | Titan Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 5400 S University Dr Ste 110, Davie, FL 33328-5300 | 2018-12-16 |
| 1164925210 | Baptist Health Medical Group Orthopedics, LLC | Durable Medical Equipment & Medical Supplies | 4741 S University Dr Ste 140, Davie, FL 33328-3819 | 2018-03-15 |
| 1609375286 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4701 S University Dr, Davie, FL 33328-3819 | 2018-02-08 |
| 1407396047 | Pro Med Management Group LLC | Durable Medical Equipment & Medical Supplies | 3435 Belmont Ter, Davie, FL 33328-1302 | 2017-03-01 |
| 1225497027 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 8842 W State Road 84, Davie, FL 33324-4415 | 2016-02-22 |
| 1689007395 | One Beat Cpr and Learning Center Inc | Durable Medical Equipment & Medical Supplies | 4350 Oakes Rd, Suite 500, Davie, FL 33314-2222 | 2013-08-16 |
| 1902146731 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 6525 Nova Dr, Davie, FL 33317-7401 | 2013-02-14 |
| Find all providers in DAVIE | ||||
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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.