Organization
LRB MEDICAL SERVICES P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDIA ROSA BERMUDEZ MD (PRESIDENT)
(305) 300-5501
Entity
Organization
Contact information
Practice address
8805 NW 179TH LN, HIALEAH, FL 33018-6509
(305) 300-5501
(305) 824-3774
Mailing address
8805 NW 179TH LN, HIALEAH, FL 33018-6509
(305) 300-5501
(305) 824-3774
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0091458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68549
BLUE CROSS BLUE SHIELD FLA
FL
Enumeration date
10/12/2007
Last updated
05/15/2008
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