Organization Active NPI

Ed South Corp.

  • Durable Medical Equipment & Medical Supplies
  • Miramar, FL
National Provider Identifier
1104860402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ED SOUTH CORP.
Practice address
3600 S State Road 7
Suite 239
Miramar, FL 33023-5200
Phone
(786) 873-2525
Fax
(305) 228-6176
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adonis Dalacio
Title
President
Phone
(786) 873-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3600 S State Road 7
Suite 239
Miramar, FL 33023-5200

Mailing address

3600 S State Road 7
Suite 239
Miramar, FL 33023-5200
Phone (786) 873-2525

National Provider Directory

National Provider Directory

Locations

3600 S State Road 7
Ste 239
Miramar, FL 33023
Phone (786) 873-2525

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104860402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S STATE ROAD 7",
            "address_2": "SUITE 239",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235200",
            "telephone_number": "786-873-2525",
            "fax_number": "305-228-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S STATE ROAD 7",
            "address_2": "SUITE 239",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235200",
            "telephone_number": "786-873-2525",
            "fax_number": "305-228-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED SOUTH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALACIO",
        "authorized_official_first_name": "ADONIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-873-2525"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.