| E&e Medical Services LLC | |
|
5237 Ehrlich Rd Tampa FL 33624-2042 | |
| (813) 506-4769 | |
| Not Available |
| Full Name | E&e Medical Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5237 Ehrlich Rd, Tampa, Florida |
| Authorized Official Name and Position | Milagros Virginia Vazquez Guach (MANAGING MEMBER) |
| Authorized Official Contact | 8134513171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E&e Medical Services LLC 13926 Henson Cir Tampa FL 33625-3121 Ph: (813) 451-3171 | E&e Medical Services LLC 5237 Ehrlich Rd Tampa FL 33624-2042 Ph: (813) 506-4769 |
| NPI Number | 1780485979 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/22/2025 |
| Medicare PECOS PAC ID | 7719491356 |
|---|---|
| Medicare Enrollment ID | O20250708000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780485979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Secondary |
| Provider Name | Milagros V Vazquez Guach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164024204 PECOS PAC ID: 5193127942 Enrollment ID: I20210715002703 |
| Provider Name | Edgardo Mejias Chacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174378061 PECOS PAC ID: 0345782934 Enrollment ID: I20240611002482 |
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