Provider Demographics
NPI:1033461249
Name:CHIRINSKY, ERIC
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:CHIRINSKY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 HOLLAND DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2782
Mailing Address - Country:US
Mailing Address - Phone:877-977-7709
Mailing Address - Fax:
Practice Address - Street 1:1080 HOLLAND DR
Practice Address - Street 2:SUITE 3
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2782
Practice Address - Country:US
Practice Address - Phone:877-977-7709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL455389497332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies