# LRB MEDICAL SERVICES P A

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

## Provider details

- **NPI number:** 1447448592
- **Authorized official:** LIDIA ROSA BERMUDEZ MD (PRESIDENT)
- **Authorized official phone:** (305) 300-5501

## Contact information

- **Practice address:** 8805 NW 179TH LN, HIALEAH, FL 33018-6509
- **Practice address phone:** (305) 300-5501
- **Practice address fax:** (305) 824-3774
- **Mailing address:** 8805 NW 179TH LN, HIALEAH, FL 33018-6509
- **Mailing address phone:** (305) 300-5501
- **Mailing address fax:** (305) 824-3774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME0091458 | FL | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 05/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 68549 | BLUE CROSS BLUE SHIELD FLA | FL |