Provider Demographics
NPI:1609688969
Name:EZ HOME MEDICAL SUPPLY INC.
Entity type:Organization
Organization Name:EZ HOME MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:VIRGILIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:202-410-2150
Mailing Address - Street 1:101 PLAZA REAL S APT 726
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-4886
Mailing Address - Country:US
Mailing Address - Phone:201-410-2150
Mailing Address - Fax:
Practice Address - Street 1:1446 NW BOCA RATON BLVD STE 3
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1628
Practice Address - Country:US
Practice Address - Phone:201-410-2150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies