Provider Demographics
NPI:1780661199
Name:L & J MEDICAL EQUIPMENT CORP
Entity Type:Organization
Organization Name:L & J MEDICAL EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-553-1080
Mailing Address - Street 1:11200 W FLAGLER ST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1183
Mailing Address - Country:US
Mailing Address - Phone:305-553-1080
Mailing Address - Fax:305-553-1080
Practice Address - Street 1:11200 W FLAGLER ST
Practice Address - Street 2:SUITE 213
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1183
Practice Address - Country:US
Practice Address - Phone:305-553-1080
Practice Address - Fax:305-553-1080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL799332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0919790001Medicare NSC