Organization
MCC TEAM SERV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS LAGO (PRESIDENT)
(305) 269-0207
Entity
Organization
Contact information
Practice address
5755 W FLAGLER ST, 206, MIAMI, FL 33144-3441
(305) 269-0207
(305) 269-0208
Mailing address
5755 W FLAGLER ST, 206, MIAMI, FL 33144-3441
(305) 269-0207
(305) 269-0208
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313383
AHCA
FL
01
—
452914
JOINT COMMISSION
FL
Enumeration date
04/10/2007
Last updated
04/15/2008
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