Provider Demographics
NPI:1568837631
Name:ERGOMEDIC USA INC.
Entity Type:Organization
Organization Name:ERGOMEDIC USA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFERRIERE
Authorized Official - Suffix:
Authorized Official - Credentials:MSC, CPED, ATP
Authorized Official - Phone:305-244-2564
Mailing Address - Street 1:7973 NW 114TH PL
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2529
Mailing Address - Country:US
Mailing Address - Phone:305-244-2564
Mailing Address - Fax:
Practice Address - Street 1:7909 NW 56TH ST
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-4012
Practice Address - Country:US
Practice Address - Phone:305-244-2564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPED168335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier