Organization
L AND M MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA JOSEFA GONZALEZ (OWNER/PRESIDENT)
(305) 681-6966
Entity
Organization
Contact information
Practice address
1745 W 37TH ST, UNIT 17, HIALEAH, FL 33012-4677
(305) 681-6966
(305) 681-6019
Mailing address
1745 W 37TH ST, UNIT 17, HIALEAH, FL 33012-4677
(305) 681-6966
(305) 681-6019
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951351500
—
FL
Enumeration date
07/12/2006
Last updated
08/01/2008
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