Organization
H&T LAKE BLUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAUARI HORTA BRAVO (OWNER/AUTHORIZED OFFICIAL)
(941) 334-0565
Entity
Organization
Contact information
Practice address
10240 SW 56TH ST STE 111B, MIAMI, FL 33165-7066
(941) 334-0565
Mailing address
10240 SW 56TH ST STE 111B, MIAMI, FL 33165-7066
(941) 334-0565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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