Provider Demographics
NPI:1780485979
Name:E&E MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:E&E MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MILAGROS
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:VAZQUEZ GUACH
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:813-451-3171
Mailing Address - Street 1:13926 HENSON CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-3121
Mailing Address - Country:US
Mailing Address - Phone:813-451-3171
Mailing Address - Fax:
Practice Address - Street 1:5237 EHRLICH RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-2042
Practice Address - Country:US
Practice Address - Phone:813-506-4769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty