Organization
LIGHTSTREAM MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERI LYNN VALDIVIESO J.D. (VICE PRESIDENT)
(305) 441-2501
Entity
Organization
Contact information
Practice address
1779 W 37TH ST UNIT 13, HIALEAH, FL 33012-4672
(305) 441-2501
(305) 513-5710
Mailing address
1779 W 37TH ST UNIT 13, HIALEAH, FL 33012-4672
(305) 441-2501
(305) 513-5710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313350
FL
Other
Enumeration date
06/26/2007
Last updated
07/31/2023
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