Organization
1ST CHOICE ORTHOPEDIC SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARA V BORREGO (MGRM)
(305) 255-9070
Entity
Organization
Contact information
Practice address
13270 SW 131ST ST, SUITE 132, MIAMI, FL 33186-5874
(305) 255-9070
(305) 255-9071
Mailing address
13270 SW 131 ST, SUITE 132, MIAMI, FL 33186
(305) 255-9070
(305) 255-9071
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
7433490
FL
Other
Enumeration date
06/19/2013
Last updated
06/16/2014
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