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Organization
LIFE WELL BEHAVIORAL HEALTH CENTER, INC.
Active
Organization
LIFE WELL BEHAVIORAL HEALTH CENTER, INC.
Active
Other names
Life Well Medical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LIANET GONZALEZ (CEO)
(786) 717-6881
Entity
Organization
Contact information
Practice address
2801 NW 87TH AVE STE 7, DORAL, FL 33172-1604
(786) 759-8995
Mailing address
2801 NW 87TH AVE STE 7, DORAL, FL 33172-1604
(786) 759-8995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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