Organization
LB'S HANDICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNDON B MOORE (CEO)
(352) 246-3901
Entity
Organization
Contact information
Practice address
7421 SW 128TH TER, ARCHER, FL 32618-2921
(352) 246-3901
Mailing address
7421 SW 128TH TER, ARCHER, FL 32618-2921
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689147196
—
FL
05
—
689147198
—
FL
Enumeration date
05/14/2007
Last updated
06/23/2009
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