Provider Demographics
NPI:1578881702
Name:ELECTROSTIM MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:ELECTROSTIM MEDICAL SERVICES, INC
Other - Org Name:EMSI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN AND FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:800-588-8383
Mailing Address - Street 1:3504 CRAGMONT DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-8300
Mailing Address - Country:US
Mailing Address - Phone:800-588-8383
Mailing Address - Fax:
Practice Address - Street 1:9786A TIMBER CIR OFC E
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-5460
Practice Address - Country:US
Practice Address - Phone:800-588-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5974430002Medicare NSC