Provider Demographics
NPI:1982401733
Name:LMG MEDICAL SERVICES CORP
Entity type:Organization
Organization Name:LMG MEDICAL SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEJIA GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-822-4433
Mailing Address - Street 1:4730 N HABANA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7165
Mailing Address - Country:US
Mailing Address - Phone:813-955-4289
Mailing Address - Fax:813-537-1034
Practice Address - Street 1:4730 N HABANA AVE STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7165
Practice Address - Country:US
Practice Address - Phone:813-955-4289
Practice Address - Fax:813-537-1034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty