LOREX BOY LAGORA


Address: 1010 Nw 91st St, Miami, FL 33150-2352
Phone: 7865533440

LOREX BOY LAGORA (NPI# 1891196531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891196531
Entity Type Individual
Full Name LOREX BOY LAGORA
Credential IDMT
Practice Address 1010 Nw 91st St
Miami
FL 33150-2352
Practice Telephone 7865533440
Mailing Telephone 7865533440
Enumeration Date 2014-09-12
Last Update Date 2014-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 1010 NW 91ST ST
City MIAMI
State FL
Zip Code 33150-2352

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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

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NPI Name Taxonomy Address Enumeration
1457994394 Nathaniel Clay Hollandsworth Military Health Care Provider 517 Harrison Dr, Hurlburt Field, FL 32544-1100 2019-10-23
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1881197069 David Joseph Bergstrom Military Health Care Provider 2293 Frontera St, Navarre, FL 32566-6202 2018-03-14
1144723321 Paris Johnae Milton Military Health Care Provider 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403-5604 2018-03-14
1538681226 Qynne M Shoemaker Military Health Care Provider 1008 E Strawbridge Ave, Melbourne, FL 32901-4909 2017-07-13
1366865321 Stephanie Fike Military Health Care Provider 2804 Winners Circle Dr, Navarre, FL 32566-8820 2014-01-28
1639506579 Aaron Newby Military Health Care Provider 3434 Skysail Pl, Tampa, FL 33607-5828 2013-10-10
1821439712 Eric John Muelhausen Military Health Care Provider 6151 Evergreen Pkwy, Crestview, FL 32539-7702 2013-07-09
1457790875 Caige Carter Chapman Military Health Care Provider 1935 Jo Tam Lane, Navarre, FL 32566 2013-06-19
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Competitor

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City MIAMI
Zip Code 33150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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