SPARK MEDICAL SUPPLY LLC
NPI 1083274112
Durable Medical Equipment & Medical Supplies in Palm Springs, FL

Q: What is Spark Medical Supply LLC's NPI number?

The NPI number for Spark Medical Supply LLC is 1083274112. It was assigned to this organization in the NPPES registry on June 20, 2019.

Q: What is Spark Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since June 20, 2019

3175 S CONGRESS AVE STE 305D, PALM SPRINGS, FL 33461(561) 469-7980 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2020, Nov 6, 2019, Jul 1, 2019 and 1 more (4 updates tracked since 2019).

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About Spark Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPARK MEDICAL SUPPLY LLC (NPI 1083274112) is a healthcare organization registered as a durable medical equipment & medical supplies in Palm Springs, Florida and active in the NPI registry since June 2019. The organization lists Michael Nussbaum, Owner, as its authorized official.

NPPES Registry Identity

NPI1083274112

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSPARK MEDICAL SUPPLY LLC

Location Address3175 S CONGRESS AVE STE 305DPalm Springs, FL 33461-2562

Mailing Address3175 S Congress Ave Ste 305dPalm Springs, FL 33461-2562 · (561) 469-7980

Phone(561) 469-7980

Organization SubpartNo

Authorized OfficialMichael NussbaumOwner · (561) 469-7980

Enumeration DateJune 20, 2019

Last NPPES UpdateMarch 12, 20204 updates tracked since enumeration

NPPES CertifiedMarch 12, 2020

✔ NPI 1083274112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

3175 S CONGRESS AVE STE 305D, Palm Springs, FL 33461

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spark Medical Supply LLC's NPI number?

The NPI number for Spark Medical Supply LLC is 1083274112. It was assigned to this organization in the NPPES registry on June 20, 2019.

Where is Spark Medical Supply LLC located?

Spark Medical Supply LLC is located at 3175 S Congress Ave Ste 305D, Palm Springs, FL 33461. The listed phone number is (561) 469-7980.

What is Spark Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Spark Medical Supply LLC was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.