Provider Demographics
NPI:1326051244
Name:L. MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:L. MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-448-8505
Mailing Address - Street 1:5040 NW 7TH ST
Mailing Address - Street 2:SUITE 670
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3422
Mailing Address - Country:US
Mailing Address - Phone:305-448-8505
Mailing Address - Fax:305-448-5099
Practice Address - Street 1:5040 NW 7TH ST
Practice Address - Street 2:SUITE 670
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3422
Practice Address - Country:US
Practice Address - Phone:305-448-8505
Practice Address - Fax:305-448-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health