GREEN LAKE VILLAGE INC
NPI 1790504694
Durable Medical Equipment & Medical Supplies in Tampa, FL

Active since October 08, 2024
1107 E JACKSON ST STE 208, TAMPA, FL 33602(813) 280-1199 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Lake Village Inc NPPES

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

GREEN LAKE VILLAGE INC (NPI 1790504694) is a healthcare organization registered as a durable medical equipment & medical supplies in Tampa, Florida and active in the NPI registry since October 2024. The organization lists Ricardo Rodriquez Figueroa, Owner, as its authorized official.

NPPES Registry Identity

NPI1790504694
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGREEN LAKE VILLAGE INC
Location Address1107 E JACKSON ST STE 208Tampa, FL 33602-4161
Mailing Address1107 E Jackson St Ste 208Tampa, FL 33602-4161 · (813) 280-1199
Organization SubpartNo
Authorized OfficialRicardo Rodriquez FigueroaOwner · (813) 280-1199
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 4, 2024
NPI 1790504694 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.
1107 E JACKSON ST STE 208, Tampa, FL 33602

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1107 E JACKSON ST STE 208
TAMPA, FL 33602
Clinic/Center
1107 E JACKSON ST STE 208
TAMPA, FL 33602

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 Green Lake Village Inc's NPI number?

The NPI number for Green Lake Village Inc is 1790504694. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Green Lake Village Inc located?

Green Lake Village Inc is located at 1107 E Jackson St Ste 208, Tampa, FL 33602. The listed phone number is (813) 280-1199.

What is Green Lake Village Inc'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 Green Lake Village Inc was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.