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NPI Code Detail

MEDICARE: L & J MEDICAL EQUIPMENT CORP

MEDICARE: L & J MEDICAL EQUIPMENT 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
1332B00000XDurable Medical Equipment & Medical Supplies799FL

General Provider Information

NPI Number : 1780661199
Entity Type Code : Organization
Provider Name (Legal Business Name) : L & J MEDICAL EQUIPMENT CORP
Provider Business Mailing Address
First Line : 11200 W FLAGLER ST
Second Line : SUITE 213
City : MIAMI
State : FL
Zip : 33174-1183
Country : US
Telephone Number : 305-553-1080
Fax Number : 305-553-1080
Provider Business Practice Location Address
First Line : 11200 W FLAGLER ST
Second Line : SUITE 213
City : MIAMI
State : FL
Zip : 33174-1183
Country : US
Telephone Number : 305-553-1080
Fax Number : 305-553-1080
Authorized Official
Title or Position : PRESIDENT
Name : LUIS O DIAZ
Credential :
Telephone Number : 305-553-1080
Provider Enumeration Date : 12/28/2005
Last Update Date : 08/22/2020

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Directions to “L & J MEDICAL EQUIPMENT CORP ” Practice Location

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