MEDICARE: E S C & SERVICE CORP

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1841439676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E S C & SERVICE CORP

Provider Business Mailing Address
First Line	:	13876 SW 56TH ST
Second Line	:	H 370
City	:	MIAMI
State	:	FL
Zip	:	33175-6021
Country	:	US
Telephone Number	:	305-264-5550
Fax Number	:

Provider Business Practice Location Address
First Line	:	13876 SW 56TH ST
Second Line	:	H 370
City	:	MIAMI
State	:	FL
Zip	:	33175-6021
Country	:	US
Telephone Number	:	305-264-5550
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ORLANDO MAGRINAT
Credential	:
Telephone Number	:	305-264-5558

Provider Enumeration Date	:	02/18/2009
Last Update Date	:	02/18/2009

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Directions to “E S C & SERVICE CORP ” Practice Location

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