| NPI Details | |
|---|---|
| NPI | 1093907008 |
| Enumeration Date | 08/14/2007 |
| Last Updated | 07/01/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | IDALMIS IDALMIS |
| Position | PRESIDENT |
| Phone | (305) 889-3375 |
| Fax | (305) 889-3376 |
| Practice Location | |
|---|---|
| 1133 W 29 ST HIALEAH FL, 33012, US |
|
| Phone | (305) 889-3375 |
| Fax | (305) 889-3376 |
| Business Location | |
|---|---|
| 1133 W 29 ST HIALEAH FL, 33012, US |
|
| Phone | (305) 889-3375 |
| Fax | (305) 889-3376 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 3336C0003X |
| License State | |
| License Number | |
| Remove 1093907008 NPI Number | |
According to our database, Lismaray Lora NPI is 1093907008, taxonomy code is 3336C0003X Lismaray Lora physically located at 1133 W 29 St, Hialeah FL, 33012. NPI Number 1033115704 has the healthcare provider type.
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1093907008 NPI number is provided on an as is basis without warranty of any kind. 1093907008 is maintained by the National Plan & Provider Enumeration System. The contents of Lismaray Lora are for informational purposes only.
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