Healthcare Provider Details

I. General information

NPI: 1255155073
Provider Name (Legal Business Name): DALMA COMPREHENSIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 11/08/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 MEDICAL HILL RD
SEBRING FL
33870-5531
US

IV. Provider business mailing address

3345 MEDICAL HILL RD
SEBRING FL
33870-5531
US

V. Phone/Fax

Practice location:
  • Phone: 863-546-0030
  • Fax:
Mailing address:
  • Phone: 863-546-0030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: TORIBIO LUGO
Title or Position: OWNER
Credential: MD
Phone: 646-342-1390