RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS NPI 1972676682

NPI Information

  • NPI: 1972676682
  • Provider Name: RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: MODERN MEDICAL PRODUCTS
  • Address: 2412 LAKELAND HILLS BLVD
    LAKELAND, FL
    ZIP 33805
  • Phone: (863) 680-2010

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NPI Details

RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS is a durable medical equipment medical supplies in Lakeland, 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. RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS NPI is 1972676682. The provider is registered as an organization entity type.
The provider Is Doing Business As Modern Medical Products.

The provider's business location address is:

2412 LAKELAND HILLS BLVD
LAKELAND, FL
ZIP 33805
Phone: (863) 680-2010
Fax: (863) 680-1870

The provider's authorized official is Sandra J Short .
The authorized official title is President and has the following contact phone number (863) 680-2010.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/30/2008.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332B00000XDurable Medical Equipment & Medical Supplies981FLORIDAYes

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
1950845700MEDICAIDFLORIDA
20841010001MEDICARE NSCFLORIDA

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: 3/30/2025

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