Organization
LAVISH BY A&B
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY LANE (MANAGER)
(786) 247-0572
Entity
Organization
Contact information
Practice address
14650 SW 104TH AVE, MIAMI, FL 33176-7716
(786) 247-0572
Mailing address
14650 SW 104TH AVE, MIAMI, FL 33176-7716
(786) 247-0572
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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