MEDICARE: D & L MEDICAL SERVICES 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	:	1174614440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D & L MEDICAL SERVICES CORP

Provider Business Mailing Address
First Line	:	555 E 25TH ST
Second Line	:	SUITE 205
City	:	HIALEAH
State	:	FL
Zip	:	33013-3848
Country	:	US
Telephone Number	:	305-696-3057
Fax Number	:	305-696-3067

Provider Business Practice Location Address
First Line	:	555 E 25TH ST
Second Line	:	SUITE 205
City	:	HIALEAH
State	:	FL
Zip	:	33013-3848
Country	:	US
Telephone Number	:	305-696-3057
Fax Number	:	305-696-3067

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DOREYA LAZAGA
Credential	:
Telephone Number	:	305-696-3057

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	08/22/2020

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Directions to “D & L MEDICAL SERVICES CORP ” Practice Location

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