Provider Demographics
NPI:1700833696
Name:ELECTROMEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:ELECTROMEDICAL SOLUTIONS
Other - Org Name:ELECTROMEDICAL SOLUTIONS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:VINCENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-586-4510
Mailing Address - Street 1:25400 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 257
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-2149
Mailing Address - Country:US
Mailing Address - Phone:727-586-4510
Mailing Address - Fax:727-586-4610
Practice Address - Street 1:25400 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 257
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-2149
Practice Address - Country:US
Practice Address - Phone:727-586-4510
Practice Address - Fax:727-586-4610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies