Matrix Medical Llc

LBN: Matrix Medical Llc
Matrix Medical Llc is an health care organization with primary practice located at 1201 Arapaho Ave Ste A , St Augustine FL 32084-4204. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Matrix Medical Llc can be contacted via phone (904) 829-1799, or through Russalesi, Wendy via phone (484) 246-9499.

Contact Information

Primary practice address
1201 Arapaho Ave Ste A St Augustine FL 32084-4204
Phone: (904) 829-1799
Fax: (904) 829-0549
Website:
Map and Directions
Authorized official contact:
Name: Russalesi, Wendy
Phone: (484) 246-9499

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1932545993
LBN Legal business name Matrix Medical Llc
DBA Doing business as
Authorized official Russalesi, Wendy
Entity Organization
Organization subpart 1 Yes
Enumeration date May 17th, 2013
Last updated Oct 15th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932545993 NPPES
Florida MEDICAID 015644300

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