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IMPLAGRAFT LLC
NPI 1134638257
Durable Medical Equipment & Medical Supplies in Clermont, FL

Active since September 20, 2017
12701 MAGNOLIA BAY BLVD, CLERMONT, FL 34711(407) 484-2098 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 18, 2020, Dec 18, 2019, Dec 12, 2019 and 1 more (4 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...

About IMPLAGRAFT LLC

This page provides the complete NPI Profile along with additional information for Implagraft Llc, a provider established in Clermont, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1134638257 assigned on September 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Luis Rodriguez (President)

NPI
1134638257 Verify this NPI
Provider Name
IMPLAGRAFT LLC
Entity Type
Organization
Location Address
12701 MAGNOLIA BAY BLVD CLERMONT, FL 34711
Location Phone
(407) 484-2098
Mailing Address
P.O. BOX 560569 MONTVERDE, FL 34756
Mailing Phone
(407) 484-2098
Mailing Fax
(407) 386-8587
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2017
Last Update Date
12-18-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LUIS RODRIGUEZ

Authorized Official Title
PRESIDENT
Authorized Official Phone
(407) 484-2098

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Frequently Asked Questions

What is IMPLAGRAFT LLC's NPI number?

The NPI number assigned to this healthcare provider is 1134638257, enumerated as an "organization" on September 20, 2017.

Where is the provider located?

The provider is located at 12701 MAGNOLIA BAY BLVD CLERMONT, FL 34711 and the phone number is (407) 484-2098.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.