MEDICARE: LEO SERVICES SOLUTIONS CORP

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	:	1487307328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEO SERVICES SOLUTIONS CORP

Provider Business Mailing Address
First Line	:	1840 W 49TH ST STE 604A
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2887
Country	:	US
Telephone Number	:	786-803-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 W 49TH ST STE 604A
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-2887
Country	:	US
Telephone Number	:	786-803-8893
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LEONEL GOMEZ OLIVERA
Credential	:
Telephone Number	:	786-803-8893

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	02/01/2022

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Directions to “LEO SERVICES SOLUTIONS CORP ” Practice Location

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