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NPI Code Detail

MEDICARE: LAVIOR PHARMA, INC

MEDICARE: LAVIOR PHARMA, 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1215712138
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAVIOR PHARMA, INC
Provider Business Mailing Address
First Line : 20177 NE 16TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33179-2720
Country : US
Telephone Number : 754-234-7693
Fax Number :
Provider Business Practice Location Address
First Line : 20177 NE 16TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33179-2720
Country : US
Telephone Number : 754-234-7693
Fax Number :
Authorized Official
Title or Position : EXECUTIVE ADMINISTRATOR
Name : MS. CAMILLE AGUILAR
Credential :
Telephone Number : 754-234-7693
Provider Enumeration Date : 08/29/2023
Last Update Date : 08/30/2023

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Directions to “LAVIOR PHARMA, INC ” Practice Location

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