Supermed Inc
LBN: Supermed Inc
Supermed Inc is an health care organization with primary practice located at 525 Shadow Lakes Blvd , Ormond Beach FL 32174-5003. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Supermed Inc can be contacted via phone (386) 672-9530, or through Bane, Phillip via phone (540) 397-4318.
Contact Information
Primary practice address
525 Shadow Lakes Blvd
Ormond Beach FL 32174-5003
Phone: (386) 672-9530
Fax: (386) 677-2072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | HME868 | Florida |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | HME868 | Florida |
Profile Details
| NPI number | 1083616098 |
|---|---|
| LBN Legal business name | Supermed Inc |
| DBA Doing business as | |
| Authorized official | Bane, Phillip |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Feb 12th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083616098 | NPPES |
| Florida | Other | 683661500 | MEDWAIVER (COA) |
| Florida | Other | 683944498 | MEDWAIVER (COA) |
| Florida | MEDICAID | 025440100 | MEDWAIVER (COA) |
| Florida | Other | 683944496 | MEDWAIVER (COA) |
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