Provider Demographics
NPI:1134740764
Name:ELA MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:ELA MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:EMILIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-754-2407
Mailing Address - Street 1:10263 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3939
Mailing Address - Country:US
Mailing Address - Phone:561-635-1364
Mailing Address - Fax:
Practice Address - Street 1:10263 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3939
Practice Address - Country:US
Practice Address - Phone:561-635-1364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies