1912942475 NPI number — EXPRESS MED MEDICAL SUPPLY CORP

Table of content: (NPI 1912942475)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912942475 NPI number — EXPRESS MED MEDICAL SUPPLY CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXPRESS MED MEDICAL SUPPLY CORP
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:
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:
1912942475
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:
3901 NW 79TH AVE
Provider Second Line Business Mailing Address:
STE 220
Provider Business Mailing Address City Name:
DORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33166-6554
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-477-4140
Provider Business Mailing Address Fax Number:
305-477-4160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3901 NW 79TH AVE
Provider Second Line Business Practice Location Address:
STE 220
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33166-6554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-477-4140
Provider Business Practice Location Address Fax Number:
305-477-4160
Provider Enumeration Date:
06/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VINA
Authorized Official First Name:
ANAIS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-477-4140

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com