NPI Information

  • NPI: 1386755163
  • Provider Name: MATRIX MEDICAL LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 2468 US HIGHWAY 441/27 STE 513
    FRUITLAND PARK, FL
    ZIP 34731
  • Phone: (352) 343-4402

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NPI Details

MATRIX MEDICAL LLC is a durable medical equipment medical supplies in Fruitland Park, FL. The provider is 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. MATRIX MEDICAL LLC NPI is 1386755163. The provider is registered as an organization entity type.

The provider's business location address is:

2468 US HIGHWAY 441/27 STE 513
FRUITLAND PARK, FL
ZIP 34731-154
Phone: (352) 343-4402
Fax: (800) 491-5803

The provider's authorized official is Wendy Russalesi .
The authorized official title is Chief Compliance Officer and has the following contact phone number (484) 246-9499.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/19/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
2332B00000XDurable Medical Equipment & Medical Supplies2077FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1109316200MEDICAIDFLORIDA

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: 11/21/2025

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