OrganizationLp Medical Center, IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address4058 W 12th Ave, Hialeah, FL 33012-4106(305) 819-8094PECOS EnrollmentBased on the most recent information from CMS, provider Lp Medical Center, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1760743876Provider TypeOrganizationFull NameLp Medical Center, IncSubpartNoEnumeration Date6/5/2012Last Updated6/5/2012Contact InformationPractice LocationPractice Address4058 W 12th Ave, Hialeah, FL 33012-4106Phone(305) 819-8094Fax(305) 819-8128Mailing LocationMailing Address4058 W 12th Ave, Hialeah, FL 33012-4106Phone(305) 819-8094Fax(305) 819-8128Authorized OfficialNameLopez, Pedro (President)Phone(305) 819-8094Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC4034Florida