# SE PROFESSIONAL INC

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

## Provider details

- **NPI number:** 1508931387
- **Authorized official:** LAZARO R FERNANDEZ (PRESIDENT)
- **Authorized official phone:** (786) 235-0330

## Contact information

- **Practice address:** 25 SE 2ND AVE, SUITE 502, MIAMI, FL 33131-1506
- **Practice address phone:** (786) 235-0330
- **Practice address fax:** (786) 235-0331
- **Mailing address:** 25 SE 2ND AVE, SUITE 502, MIAMI, FL 33131-1506
- **Mailing address phone:** (786) 235-0330
- **Mailing address fax:** (786) 235-0331

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020