Provider Demographics
NPI:1578816310
Name:L & S MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:L & S MEDICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:GUINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENAN LEON
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-273-0036
Mailing Address - Street 1:10700 CARIBBEAN BLVD
Mailing Address - Street 2:SUITE 202D
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1232
Mailing Address - Country:US
Mailing Address - Phone:786-273-0036
Mailing Address - Fax:
Practice Address - Street 1:10700 CARIBBEAN BLVD
Practice Address - Street 2:SUITE 202D
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1232
Practice Address - Country:US
Practice Address - Phone:786-273-0036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service