MEDICARE: EVAN PIPER ENTERPRISES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1312550	FL

General Provider Information

NPI Number	:	1487691325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVAN PIPER ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	1885 NE 149TH ST
Second Line	:	SUITE A
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-1167
Country	:	US
Telephone Number	:	305-940-2030
Fax Number	:	305-940-0050

Provider Business Practice Location Address
First Line	:	1885 NE 149TH ST
Second Line	:	SUITE A
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-1167
Country	:	US
Telephone Number	:	305-940-2030
Fax Number	:	305-940-0050

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. EVAN SCOTT PIPER
Credential	:
Telephone Number	:	305-940-2030

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	11/12/2013

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