MEDICARE: E&S MEDICAL EQUIPMENT 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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1725	OTHER	FL	AHCA LICENSE

General Provider Information

NPI Number	:	1952356099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E&S MEDICAL EQUIPMENT CORP

Provider Business Mailing Address
First Line	:	4471 NW 36TH ST
Second Line	:	SUITE 253
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7285
Country	:	US
Telephone Number	:	305-885-8444
Fax Number	:	305-885-6598

Provider Business Practice Location Address
First Line	:	4471 NW 36TH ST
Second Line	:	SUITE 253
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7285
Country	:	US
Telephone Number	:	305-885-8444
Fax Number	:	305-885-6598

Authorized Official
Title or Position	:	MANAGER
Name	:	IVONNE I TAMAYO
Credential	:
Telephone Number	:	305-885-8444

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/22/2020

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Directions to “E&S MEDICAL EQUIPMENT CORP ” Practice Location

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