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NPI Code Detail

MEDICARE: DYLO DIAGNOSTICS LLC

MEDICARE: DYLO DIAGNOSTICS LLC
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1477328441
Entity Type Code : Organization
Provider Name (Legal Business Name) : DYLO DIAGNOSTICS LLC
Provider Business Mailing Address
First Line : 7601 N FEDERAL HWY STE 125A
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-1663
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7601 N FEDERAL HWY STE 125A
Second Line :
City : BOCA RATON
State : FL
Zip : 33487-1663
Country : US
Telephone Number : 833-505-4412
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DEVIN BRODMAN
Credential :
Telephone Number : 954-995-0202
Provider Enumeration Date : 11/20/2023
Last Update Date : 11/20/2023

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Directions to “DYLO DIAGNOSTICS LLC ” Practice Location

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