| Lo Professional Services, Inc | |
|
1036 Rabun Ln Titusville FL 32780 | |
| (772) 646-1576 | |
| (321) 445-5407 |
| Full Name | Lo Professional Services, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1036 Rabun Ln, Titusville, Florida |
| Authorized Official Name and Position | Jorge L Miro (PRESIDENT) |
| Authorized Official Contact | 7726461576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lo Professional Services, Inc 1036 Rabun Ln Titusville FL 32780 Ph: (772) 646-1576 | Lo Professional Services, Inc 1036 Rabun Ln Titusville FL 32780 Ph: (772) 646-1576 |
| NPI Number | 1265666333 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265666333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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