MEDICARE: EPICMED, LLC

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

General Provider Information

NPI Number	:	1770851644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPICMED, LLC

Provider Business Mailing Address
First Line	:	12323 SW 55TH ST
Second Line	:	#1005
City	:	COOPER CITY
State	:	FL
Zip	:	33330-3312
Country	:	US
Telephone Number	:	800-706-4184
Fax Number	:

Provider Business Practice Location Address
First Line	:	12323 SW 55TH ST
Second Line	:	#1005
City	:	COOPER CITY
State	:	FL
Zip	:	33330-3312
Country	:	US
Telephone Number	:	800-706-4184
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. JARRED COHEN
Credential	:
Telephone Number	:	18007064184

Provider Enumeration Date	:	12/07/2011
Last Update Date	:	06/11/2012

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Directions to “EPICMED, LLC ” Practice Location

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