# LILY MEDICAL, LLC

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

## Provider details

- **NPI number:** 1669873469
- **Authorized official:** PATRICK TOMASSI (OWNER)
- **Authorized official phone:** (537) 893-7111

## Contact information

- **Practice address:** 7680 UNIVERSAL BLVD, STE 575, ORLANDO, FL 32819-8900
- **Practice address phone:** (573) 893-7111
- **Practice address fax:** (573) 415-0413
- **Mailing address:** PO BOX 743122, ATLANTA, GA 30374-3122
- **Mailing address phone:** (573) 893-7111
- **Mailing address fax:** (573) 415-0413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L14000135305 | FL | Yes |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 10/27/2014