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Organization
LIGHT FOR LIFE THERAPY SERVICES, INC.
Active
Organization
LIGHT FOR LIFE THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET L GONZALEZ (OWNER)
(786) 439-5835
Entity
Organization
Contact information
Practice address
275 FONTAINEBLEAU BLVD STE 130, MIAMI, FL 33172-7011
(786) 439-5835
Mailing address
275 FONTAINEBLEAU BLVD, STE 130, MIAMI, FL 33172-4591
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
Other
Enumeration date
07/12/2016
Last updated
03/17/2018
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