Organization
LOMISA INC
Active
Organization
LOMISA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO DIAZ (VICEPRESIDENT)
(904) 723-3008
Entity
Organization
Contact information
Practice address
9951 ATLANTIC BLVD , SUITE 109, JACKSONVILLE, FL 32225-6558
(904) 723-3008
(904) 723-3010
Mailing address
9951 ATLANTIC BLVD , SUITE 109, JACKSONVILLE, FL 32225-6558
(904) 723-3008
(904) 723-3010
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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