Healthcare Provider Details

I. General information

NPI: 1205709698
Provider Name (Legal Business Name): PHLEBOCARE LABS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 NE 10TH TER STE A
CAPE CORAL FL
33909-1735
US

IV. Provider business mailing address

1706 NE 10TH TER STE A
CAPE CORAL FL
33909-1735
US

V. Phone/Fax

Practice location:
  • Phone: 239-478-0014
  • Fax: 786-521-9442
Mailing address:
  • Phone: 239-478-0014
  • Fax: 786-521-9442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: LISANDRA PALACIOS PEREZ
Title or Position: CEO/OWNER
Credential:
Phone: 786-521-9442