Provider Demographics
NPI:1679792642
Name:ERIK & E MEDICAL SUPPLIES, INC.
Entity type:Organization
Organization Name:ERIK & E MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-388-6100
Mailing Address - Street 1:13500 SW 88TH ST
Mailing Address - Street 2:SUITE 285B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1515
Mailing Address - Country:US
Mailing Address - Phone:305-388-6100
Mailing Address - Fax:305-388-6101
Practice Address - Street 1:13500 SW 88TH ST
Practice Address - Street 2:SUITE 285B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1515
Practice Address - Country:US
Practice Address - Phone:305-388-6100
Practice Address - Fax:305-388-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5178270001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER