Provider Demographics
NPI:1043539042
Name:E Z CARE MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:E Z CARE MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DESCHAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-614-3842
Mailing Address - Street 1:568 W SILVER STAR EXT
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-2016
Mailing Address - Country:US
Mailing Address - Phone:407-614-3842
Mailing Address - Fax:
Practice Address - Street 1:568 W SILVER STAR EXT
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-2016
Practice Address - Country:US
Practice Address - Phone:407-614-3842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-31
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies