OrganizationActive
Southeastern Dme LLC
NPI 1629573134 · Durable Medical Equipment & Medical Supplies · Fort Pierce, FL
Provider details
- NPI number
- 1629573134
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Reinaldo Wilson, Owner(336) 740-0899
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
200 S Indian River Dr Ste 300
Fort Pierce, FL 34950
Phone: (772) 460-6091
Street-level locationGet directions
Mailing address
29 Jacks Ct
Richmond Hill, GA 31324-9344
Registry dates
- Enumerated
- 2018-03-27
- Last updated
- 2018-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.