Organization
LIDI MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES MARTINEZ (PRESIDENT)
(305) 403-1059
Entity
Organization
Contact information
Practice address
717 PONCE DE LEON BLVD, SUITE 321, CORAL GABLES, FL 33134-2060
(305) 403-1059
(305) 403-1060
Mailing address
717 PONCE DE LEON BLVD, SUITE 321, CORAL GABLES, FL 33134-2060
(305) 403-1059
(305) 403-1060
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
HME1124
FL
Other
Enumeration date
06/26/2006
Last updated
02/10/2009
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