Provider Demographics
NPI:1407420250
Name:PRINCIPAL MED EQUIP CORP
Entity Type:Organization
Organization Name:PRINCIPAL MED EQUIP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-709-7959
Mailing Address - Street 1:8358 W OAKLAND PARK BLVD STE 202D
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7340
Mailing Address - Country:US
Mailing Address - Phone:954-709-7959
Mailing Address - Fax:
Practice Address - Street 1:8358 W OAKLAND PARK BLVD STE 202D
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7340
Practice Address - Country:US
Practice Address - Phone:954-709-7959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies