Provider Demographics
NPI:1518561125
Name:EV MED SUPPLY LLC
Entity Type:Organization
Organization Name:EV MED SUPPLY LLC
Other - Org Name:LINCOLN HEALTH SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVACSIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-553-6444
Mailing Address - Street 1:222 N FEDERAL HWY APT 107
Mailing Address - Street 2:
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-2869
Mailing Address - Country:US
Mailing Address - Phone:855-553-6444
Mailing Address - Fax:
Practice Address - Street 1:222 N FEDERAL HWY APT 107
Practice Address - Street 2:
Practice Address - City:DANIA
Practice Address - State:FL
Practice Address - Zip Code:33004-2869
Practice Address - Country:US
Practice Address - Phone:855-553-6444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies