Organization
LIGHTHOUSE MED SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB ESPINOZA (AUTHORIZED OFFICIAL)
(954) 709-7959
Entity
Organization
Contact information
Practice address
10211 W SAMPLE RD STE 100, CORAL SPRINGS, FL 33065-3966
(754) 225-8775
Mailing address
10211 W SAMPLE RD STE 100, CORAL SPRINGS, FL 33065-3966
(754) 225-8775
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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