Organization
GREEN LIGHT MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL CASAL (PRESIDENT)
(305) 463-7857
Entity
Organization
Contact information
Practice address
3006 NW 79TH AVE, #5, DORAL, FL 33122-1010
(305) 463-7857
(305) 463-7876
Mailing address
3006 NW 79TH AVE, #5, DORAL, FL 33122-1010
(305) 463-7857
(305) 463-7876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6134928
FL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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