LB'S Handicare, Inc.
Organization Active NPI Preferred Provider Organization · Archer, FL
NPI 1902011638 · NPPES record last updated Jun 23, 2009
Key facts
- NPI
- 1902011638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- Legal business name
- LB'S HANDICARE, INC.
- Practice address
- 7421 SW 128TH Ter
Archer, FL 32618-2921 - Phone
- (352) 246-3901
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Lyndon B Moore
- Title
- Ceo
- Phone
- (352) 246-3901
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Yes |
Addresses
Primary practice location
7421 SW 128TH Ter
Archer, FL 32618-2921
Mailing address
7421 SW 128TH Ter
Archer, FL 32618-2921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 689147196 | Medicaid | FL | |
| 689147198 | Medicaid | FL |
Other providers in Archer, FL
- Spencer Haire
- Patricia Hall
- Aileen Michaela Hudson
- Kara Jones-Schubart
- Ebony Lassiter
- Lue R Madison
- Jannie Ostane
- James Luel Poole
- Jamie Primosch
- Susan Roche
All providers in Archer, FL · Preferred Provider Organization in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.