H&T Lake Blue Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

H&T LAKE BLUE INC

Practice address

10240 SW 56TH St Ste 111B
Miami, FL 33165-7066

Phone

(941) 334-0565

NPI assigned

Jan 23, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hauari Horta Bravo

Title

Owner/Authorized Official

Phone

(941) 334-0565

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1083563019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST STE 111B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657066",
            "telephone_number": "941-334-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST STE 111B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657066",
            "telephone_number": "941-334-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H&T LAKE BLUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "HORTA BRAVO",
        "authorized_official_first_name": "HAUARI",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "941-334-0565"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.