Organization
LAKES MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO FERNANDEZ GOMEZ (MANAGER/OWNER)
(305) 456-5299
Entity
Organization
Contact information
Practice address
5881 NW 151ST ST, MIAMI LAKES, FL 33014-2497
(305) 456-5299
(305) 456-5042
Mailing address
5881 NW 151ST ST, MIAMI LAKES, FL 33014-2497
(305) 456-5299
(305) 456-5042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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