Individual
GINO LAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8020 W 23RD AVE STE 2, HIALEAH, FL 33016-5560
(954) 849-4292
Mailing address
8020 W 23RD AVE STE 2, HIALEAH, FL 33016-5560
(954) 849-4292
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
22091334MU
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L500281914060
FLORIDA DRIVER LICENSE
FL
Enumeration date
02/09/2023
Last updated
02/09/2023
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