Provider Demographics
NPI:1972593952
Name:E-SHOPPE INCORPORATED
Entity type:Organization
Organization Name:E-SHOPPE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDDA
Authorized Official - Middle Name:IVONNE
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-817-8090
Mailing Address - Street 1:7850 NW 146TH ST
Mailing Address - Street 2:SUITE 412
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1564
Mailing Address - Country:US
Mailing Address - Phone:305-817-8090
Mailing Address - Fax:305-817-8099
Practice Address - Street 1:7850 NW 146TH ST
Practice Address - Street 2:SUITE 412
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33016-1564
Practice Address - Country:US
Practice Address - Phone:305-817-8090
Practice Address - Fax:305-817-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL590204-5332B00000X
FL590203-7332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies