Provider Demographics
NPI:1982450383
Name:M.L. HEAVY EQUIPMENT CORP
Entity type:Organization
Organization Name:M.L. HEAVY EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:DE JESUS
Authorized Official - Last Name:LOPEZ SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-784-4982
Mailing Address - Street 1:1820 N CORPORATE LAKES BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3269
Mailing Address - Country:US
Mailing Address - Phone:954-636-6761
Mailing Address - Fax:
Practice Address - Street 1:1820 N CORPORATE LAKES BLVD STE 206
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3269
Practice Address - Country:US
Practice Address - Phone:954-636-6761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty