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1972676682 NPI number — RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS

NPI Number: 1972676682
Health Care Provider/Practitioner: RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS

Information about “1972676682” NPI (RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS) exists in 1972676682 in HTML format HTML  |  1972676682 in plain Text format TXT  |  1972676682 in PDF (Portable Document Format) PDF  |  1972676682 in an XML format XML  formats.

NPI Number : 1972676682 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972676682",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RUDY RYAN INC DBA MODERN MEDICAL PRODUCTS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2412 LAKELAND HILLS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKELAND",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "863-680-2010",
    "MailingAddressFaxNumber": "863-680-1870",
    "FirstLinePracticeLocationAddress": "2412 LAKELAND HILLS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKELAND",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "863-680-2010",
    "PracticeLocationAddressFaxNumber": "863-680-1870",
    "EnumerationDate": "11/17/2006",
    "LastUpdateDate": "07/30/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHORT",
    "AuthorizedOfficialFirstName": "SANDRA",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "863-680-2010",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "981",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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