Provider Demographics
NPI:1851301899
Name:LYN MEDICAL INC.
Entity Type:Organization
Organization Name:LYN MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-231-8160
Mailing Address - Street 1:8145 W 28TH AVE
Mailing Address - Street 2:210
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5114
Mailing Address - Country:US
Mailing Address - Phone:305-231-8160
Mailing Address - Fax:305-231-5334
Practice Address - Street 1:8145 W 28TH AVE
Practice Address - Street 2:210
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5114
Practice Address - Country:US
Practice Address - Phone:305-231-8160
Practice Address - Fax:305-231-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1313080332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5160300001Medicare ID - Type UnspecifiedPROVIDER NUMBER