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Organization
SE PROFESSIONAL INC
Active
Organization
SE PROFESSIONAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO R FERNANDEZ (PRESIDENT)
(786) 235-0330
Entity
Organization
Contact information
Practice address
25 SE 2ND AVE, SUITE 502, MIAMI, FL 33131-1506
(786) 235-0330
(786) 235-0331
Mailing address
25 SE 2ND AVE, SUITE 502, MIAMI, FL 33131-1506
(786) 235-0330
(786) 235-0331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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