1124136247 NPI number — EASTERN MEDICAL EQUIPMENT DISTRIBUTORS INC.

Table of content: DR. SEAN JAMES MURPHY D.O. (NPI 1104898717)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124136247 NPI number — EASTERN MEDICAL EQUIPMENT DISTRIBUTORS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTERN MEDICAL EQUIPMENT DISTRIBUTORS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124136247
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1324 S FEDERAL HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POMPANO BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33062-7232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-788-8009
Provider Business Mailing Address Fax Number:
954-788-8007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1324 S FEDERAL HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POMPANO BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33062-7232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-788-8009
Provider Business Practice Location Address Fax Number:
954-788-8007
Provider Enumeration Date:
08/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ANNECHIARICO
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
VINCENT
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
954-788-8009

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  1260 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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