Provider Demographics
NPI:1043318488
Name:E & D MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:E & D MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-430-1759
Mailing Address - Street 1:12581 SW 134TH CT
Mailing Address - Street 2:#104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6467
Mailing Address - Country:US
Mailing Address - Phone:786-430-1759
Mailing Address - Fax:
Practice Address - Street 1:12581 SW 134TH CT
Practice Address - Street 2:#104
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6467
Practice Address - Country:US
Practice Address - Phone:305-234-3133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313278332B00000X
FL326497332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5919610001Medicare NSC