Provider Demographics
NPI:1104159920
Name:EASTERN HEALTH PRODUCTS INC.
Entity type:Organization
Organization Name:EASTERN HEALTH PRODUCTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:JESUS
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-433-2900
Mailing Address - Street 1:11434 SW 242ND LN
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7115
Mailing Address - Country:US
Mailing Address - Phone:305-433-2900
Mailing Address - Fax:305-258-1521
Practice Address - Street 1:11434 SW 242ND LN
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7115
Practice Address - Country:US
Practice Address - Phone:305-433-2900
Practice Address - Fax:305-258-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies