Healthcare Provider Details

I. General information

NPI: 1518135698
Provider Name (Legal Business Name): ESL MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 07/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 N ALEXANDER ST
PLANT CITY FL
33563-4304
US

IV. Provider business mailing address

316 N ALEXANDER ST
PLANT CITY FL
33563-4304
US

V. Phone/Fax

Practice location:
  • Phone: 813-759-0230
  • Fax: 866-759-9923
Mailing address:
  • Phone: 813-759-0230
  • Fax: 866-759-9923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ASHE
Title or Position: OWNER
Credential:
Phone: 813-759-0230