Eastern Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

3204254 Issued in FL

Legal business name

EASTERN MEDICAL SUPPLY

Practice address

6758 NW 72 Ave
Miami, FL 33166

Phone

(305) 863-3450

Fax

(305) 863-3451

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Joan Fardales

Title

President

Phone

(305) 863-3450

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1841217577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6758 NW 72 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-863-3450",
            "fax_number": "305-863-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6758 NW 72 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-863-3450",
            "fax_number": "305-863-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "FARDALES",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-863-3450"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312728",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3204254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals South Florida, Inc.
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• Eastern Star ABA Services LLC
• Eastside Chiropractic Center Inc
• Easy Access Therapy Associates Corp
• Easy Go Pharmacy Inc
• Easy Living Medical Supply Inc

• Oxygen Equipment & Supplies (DME) in Miami, FL
• Providers in Miami, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.