Provider Demographics
NPI:1801871892
Name:EP MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:EP MEDICAL EQUIPMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELEUTERIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-630-9307
Mailing Address - Street 1:6440 SW 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2822
Mailing Address - Country:US
Mailing Address - Phone:305-630-9307
Mailing Address - Fax:305-630-3414
Practice Address - Street 1:6440 SW 117TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-2822
Practice Address - Country:US
Practice Address - Phone:305-630-9307
Practice Address - Fax:305-630-3414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
FLPH15954333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083295OtherNABP
FL106462200Medicaid
FL106462200Medicaid
0943870002Medicare ID - Type Unspecified