Organization
MIAMI LAKES MEDICAL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESUS ROJAS RRT (OWNER)
(305) 558-8838
Entity
Organization
Contact information
Practice address
6175 NW 167TH ST, SUITE G-25, HIALEAH, FL 33015-4339
(305) 558-8838
(305) 558-8011
Mailing address
6175 NW 167TH ST, SUITE G-25, HIALEAH, FL 33015-4339
(305) 558-8838
(305) 558-8011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951286100
—
FL
Enumeration date
01/22/2007
Last updated
01/03/2014
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