Individual
MR. LUCAS MIGUEL BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
7457 IBIS DR, LAKELAND, FL 33810-2211
(727) 485-7937
Mailing address
7457 IBIS DR, LAKELAND, FL 33810-2211
(727) 485-7937
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
PMD545896
FL
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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