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EASY LIFE MEDICAL SUPPLY, INC
NPI 1619072873
Durable Medical Equipment & Medical Supplies in Hollywood, FL

Active since September 13, 2006
3625 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021(954) 986-4294 Get Directions Write a Review

NPPES record last updated: November 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Easy Life Medical Supply, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASY LIFE MEDICAL SUPPLY, INC (NPI 1619072873) is a healthcare organization registered as a durable medical equipment & medical supplies in Hollywood, Florida and active in the NPI registry since September 2006. The organization lists Mira Shatkhin, President, as its authorized official.

NPPES Registry Identity

NPI1619072873
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameEASY LIFE MEDICAL SUPPLY, INC
Location Address3625 HOLLYWOOD BLVDHollywood, FL 33021-6854
Mailing Address3625 Hollywood BlvdHollywood, FL 33021-6854 · (954) 986-4294
Phone(954) 986-4294
Organization SubpartNo
Authorized OfficialMira ShatkhinPresident · (954) 986-4294
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 27, 2007
✔ NPI 1619072873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3625 HOLLYWOOD BLVD, Hollywood, FL 33021
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Other Identifiers 1

Medicare NSC5783840001

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ICON MEDICAL CENTERS, LLC
Chiropractor
3625 HOLLYWOOD BLVD
HOLLYWOOD, FL 33021
Broward County (954) 987-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Easy Life Medical Supply, Inc's NPI number?

The NPI number for Easy Life Medical Supply, Inc is 1619072873. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Easy Life Medical Supply, Inc located?

Easy Life Medical Supply, Inc is located at 3625 Hollywood Blvd, Hollywood, FL 33021. The listed phone number is (954) 986-4294.

What is Easy Life Medical Supply, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Easy Life Medical Supply, Inc was last updated on November 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.