Provider Demographics
NPI:1427149343
Name:ECLIPSE MEDICAL, INC.
Entity type:Organization
Organization Name:ECLIPSE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:GOLIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-496-8401
Mailing Address - Street 1:12105 SW 109TH COURT
Mailing Address - Street 2:UNIT 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186
Mailing Address - Country:US
Mailing Address - Phone:786-573-4597
Mailing Address - Fax:
Practice Address - Street 1:12105 SW 129TH CT
Practice Address - Street 2:UNIT 104
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6421
Practice Address - Country:US
Practice Address - Phone:789-573-4597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL610894-B332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies