Provider Demographics
NPI:1215137252
Name:D.Y.L. L LC
Entity type:Organization
Organization Name:D.Y.L. L LC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:OLADOKUN
Authorized Official - Last Name:AFOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:813-389-1287
Mailing Address - Street 1:100 W GORE ST
Mailing Address - Street 2:LUCERNE MEDICAL PLAZA SUITE 404
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1044
Mailing Address - Country:US
Mailing Address - Phone:407-481-7960
Mailing Address - Fax:407-481-7963
Practice Address - Street 1:100 W GORE ST
Practice Address - Street 2:LUCERNE MEDICAL PLAZA SUITE 404
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1044
Practice Address - Country:US
Practice Address - Phone:407-481-7960
Practice Address - Fax:407-481-7963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy