Organization
E & S STATEWIDE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO SALAZAR (PRESIDENT)
(786) 223-7905
Entity
Organization
Contact information
Practice address
15205 NW 60 AVE, MIAMI LAKES, FL 33014
(305) 817-3691
(305) 817-3691
Mailing address
15205 NW 60 AVE, MIAMI LAKES, FL 33014
(305) 817-3691
(305) 817-3691
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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