| Organization Name: | MED PLUS, LLC |
| NPI Number: | 1467498337 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THEARON L SHIPMAN (PRESIDENT/OWNER) |
| Mailing Address: | 323 Page Bacon Rd Suite # 14 Mary Esther |
| State: | FL US |
| Postal Code: | 325691610 |
| Phone Number: | 8502266331 |
| Fax Number: | 8502266332 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 04/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 1312903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy 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 |