Organization
LILY MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK TOMASSI (OWNER)
(537) 893-7111
Entity
Organization
Contact information
Practice address
7680 UNIVERSAL BLVD, STE 575, ORLANDO, FL 32819-8900
(573) 893-7111
(573) 415-0413
Mailing address
PO BOX 743122, ATLANTA, GA 30374-3122
(573) 893-7111
(573) 415-0413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L14000135305
FL
Other
Enumeration date
09/11/2014
Last updated
10/27/2014
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