Organization
EASTERN MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN FARDALES (PRESIDENT)
(305) 863-3450
Entity
Organization
Contact information
Practice address
6758 NW 72 AVE, MIAMI, FL 33166
(305) 863-3450
(305) 863-3451
Mailing address
6758 NW 72 AVE, MIAMI, FL 33166
(305) 863-3450
(305) 863-3451
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1312728
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3204254
FL
Other
Enumeration date
07/17/2006
Last updated
09/11/2025
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