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
Fax: (386) 677-2072
Website:
Authorized official contact:
Name: Bane, Phillip

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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