OrganizationActive
Florida Blvd Medical Supply Inc.
NPI 1124173232 · Customized Equipment (DME) · Lake Charles, LA
Provider details
- NPI number
- 1124173232
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Prince Oji, Admin Officer(337) 479-0013
- License
- 3765864-001 (LA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
710 W Prien Lake Rd
108
Lake Charles, LA 70601-8349
Phone: (337) 479-0013
Fax: (337) 479-0014
Street-level locationGet directions
Mailing address
710 W Prien Lake Rd
Lake Charles, LA 70601-8349
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.