Organization
LISSMART MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISVET MARTINEZ (PRESIDENT)
(813) 374-2452
Entity
Organization
Contact information
Practice address
4579 GUNN HWY, TAMPA, FL 33624-6311
(813) 374-2452
(813) 374-2453
Mailing address
4579 GUNN HWY, TAMPA, FL 33624-6311
(813) 374-2452
(813) 374-2453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8202708
UNITED HEALTH CARE
FL
01
—
P8617
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/20/2006
Last updated
03/22/2013
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