MEDICARE: LONG LIFE MEDICAL EQUIPMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225085756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG LIFE MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	730 SE 8TH ST
Second Line	:	SUITE 104
City	:	HIALEAH
State	:	FL
Zip	:	33010-5646
Country	:	US
Telephone Number	:	305-888-7595
Fax Number	:	305-888-7635

Provider Business Practice Location Address
First Line	:	730 SE 8TH ST
Second Line	:	SUITE 104
City	:	HIALEAH
State	:	FL
Zip	:	33010-5646
Country	:	US
Telephone Number	:	305-888-7595
Fax Number	:	305-888-7635

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ORISBEL ESPINOSA
Credential	:
Telephone Number	:	305-888-7595

Provider Enumeration Date	:	05/29/2006
Last Update Date	:	06/16/2008

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Directions to “LONG LIFE MEDICAL EQUIPMENT ” Practice Location

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