# LION MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356823926
- **Authorized official:** MR. LUIS MITCHELL PEREZ (OWNER)
- **Authorized official phone:** (954) 675-0770

## Contact information

- **Practice address:** 3900 WOODLAKE BLVD STE 206A, GREENACRES, FL 33463-3010
- **Practice address phone:** (561) 653-1405
- **Mailing address:** 3900 WOODLAKE BLVD STE 206A, GREENACRES, FL 33463-3010
- **Mailing address phone:** (561) 653-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2018
- **Last updated:** 04/17/2019