Provider Demographics
NPI:1649332917
Name:LORENZO SERVICES INC
Entity type:Organization
Organization Name:LORENZO SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-262-4239
Mailing Address - Street 1:6741 CORAL WAY
Mailing Address - Street 2:SUITE 46
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1767
Mailing Address - Country:US
Mailing Address - Phone:305-262-4239
Mailing Address - Fax:305-262-9279
Practice Address - Street 1:6741 CORAL WAY
Practice Address - Street 2:SUITE 46
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1767
Practice Address - Country:US
Practice Address - Phone:305-262-4239
Practice Address - Fax:305-262-9279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992111251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health