Organization
PORTLAND-HEAD SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARIDAD LILIA LEON (PRESIDENT)
(305) 385-7282
Entity
Organization
Contact information
Practice address
6011 RODMAN ST STE 302, HOLLYWOOD, FL 33023-1808
(305) 385-7282
Mailing address
6011 RODMAN ST STE 302, HOLLYWOOD, FL 33023-1808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
09/24/2006
Last updated
08/22/2020
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