Organization
JCC MEDICAL RENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADALBERTO R LARA (PRESIDENT)
(305) 827-0804
Entity
Organization
Contact information
Practice address
2510 W 78TH ST, BAY I, HIALEAH, FL 33016-2705
(305) 827-0804
Mailing address
2510 W 78TH ST, BAY I, HIALEAH, FL 33016-2705
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
324345
FL
Other
Enumeration date
09/19/2007
Last updated
07/01/2008
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