MEDICARE: L & S MEDICAL GROUP INC

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	251E00000X	Home Health Agency	299992904	FL

General Provider Information

NPI Number	:	1194913970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & S MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	14335 SW 120TH ST
Second Line	:	SUITE# 108
City	:	MIAMI
State	:	FL
Zip	:	33186-7295
Country	:	US
Telephone Number	:	305-436-9791
Fax Number	:	305-436-9792

Provider Business Practice Location Address
First Line	:	14335 SW 120TH ST
Second Line	:	SUITE# 108
City	:	MIAMI
State	:	FL
Zip	:	33186-7294
Country	:	US
Telephone Number	:	305-436-9791
Fax Number	:	305-436-9792

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. YOSLAYNE LOPEZ
Credential	:
Telephone Number	:	305-510-3050

Provider Enumeration Date	:	10/05/2007
Last Update Date	:	02/17/2011

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