Provider Demographics
NPI:1225701816
Name:EP MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:EP MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEUTERIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-630-9307
Mailing Address - Street 1:6440 SW 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2822
Mailing Address - Country:US
Mailing Address - Phone:305-630-9307
Mailing Address - Fax:786-800-3356
Practice Address - Street 1:6440 SW 117TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-2822
Practice Address - Country:US
Practice Address - Phone:305-630-9307
Practice Address - Fax:786-800-3356
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EP MEDICAL EQUIPMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-29
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684440501Medicaid