Organization
L. P. MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS PORRELLO M.D. (PRESIDENT)
(305) 270-7771
Entity
Organization
Contact information
Practice address
7374 SW 93RD AVE, SUITE 201, MIAMI, FL 33173-5201
(305) 270-7771
(305) 388-7288
Mailing address
7374 SW 93RD AVE, SUITE 201, MIAMI, FL 33173-5201
(305) 270-7771
(305) 388-7288
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME63386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371898101
—
FL
Enumeration date
02/21/2006
Last updated
01/06/2010
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