Organization
LION MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS MITCHELL PEREZ (OWNER)
(954) 675-0770
Entity
Organization
Contact information
Practice address
3900 WOODLAKE BLVD STE 206A, GREENACRES, FL 33463-3010
(561) 653-1405
Mailing address
3900 WOODLAKE BLVD STE 206A, GREENACRES, FL 33463-3010
(561) 653-1405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
04/17/2019
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