Provider Demographics
NPI:1811392772
Name:ESSENTIAL MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ESSENTIAL MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROD
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-987-0028
Mailing Address - Street 1:2801 NW 23RD BLVD APT 14
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-5910
Mailing Address - Country:US
Mailing Address - Phone:347-987-0028
Mailing Address - Fax:
Practice Address - Street 1:2801 NW 23RD BLVD APT 14
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-5910
Practice Address - Country:US
Practice Address - Phone:347-987-0028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies