Provider Demographics
NPI:1801806823
Name:A & E MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:A & E MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EBLYS
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCALONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-515-8238
Mailing Address - Street 1:2800 W 84TH ST
Mailing Address - Street 2:BAY 1
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4922
Mailing Address - Country:US
Mailing Address - Phone:786-515-8238
Mailing Address - Fax:
Practice Address - Street 1:2800 W 84TH ST
Practice Address - Street 2:BAY 1
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4922
Practice Address - Country:US
Practice Address - Phone:786-515-8238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID