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CARDIOSOM LLC NPI 1356322994


NPI Information

NPI: 1356322994
Provider Name: CARDIOSOM, LLC

Doing Business As: CARDIOSOM OF PALM BEACH GARDENS

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
3385 BURNS RD
SUITE 105
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 804-7636
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CARDIOSOM, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Palm Beach Gardens, FL. CARDIOSOM, LLC NPI is 1356322994. The provider is registered as an organization entity type.
The provider Is Doing Business As Cardiosom Of Palm Beach Gardens.

The provider's business location address is:

3385 BURNS RD
SUITE 105
PALM BEACH GARDENS, FL
ZIP 33410-328
Phone: (561) 804-7636
Fax: (561) 804-7501

The provider's authorized official is Jay Jarrell .
The authorized official title is President/coo and has the following contact phone number (317) 706-1080.

The enumeration date for this NPI number is 11/10/2005 and was last updated on 8/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies1312686FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15348030002MEDICARE ID-TYPE UNSPECIFIED
21312686OTHERFLORIDAFLORIDA AHCA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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