Healthcare Provider Details

I. General information

NPI: 1952355091
Provider Name (Legal Business Name): LENKO CENTER READY CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6595 NW 36TH ST 112-1
VIRGINIA GARDENS FL
33166-6979
US

IV. Provider business mailing address

6595 NW 36TH ST 112-1
VIRGINIA GARDENS FL
33166-6979
US

V. Phone/Fax

Practice location:
  • Phone: 786-265-3298
  • Fax: 786-265-3299
Mailing address:
  • Phone: 786-265-3298
  • Fax: 786-265-3299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOSE A VEGA
Title or Position: PRESIDENT
Credential:
Phone: 786-265-3298