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Organization
NEW LIFE MED CENTER LLC
Active
Organization
NEW LIFE MED CENTER LLC
Active
Other names
VIVE MED CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
YUSLEY COUCEIRO APRN (MGRM)
(305) 640-8393
Entity
Organization
Contact information
Practice address
5801 NW 151ST ST STE 106, MIAMI LAKES, FL 33014-2437
(305) 640-8393
(305) 639-8314
Mailing address
5801 NW 151ST ST STE 106, MIAMI LAKES, FL 33014-2437
(305) 951-8639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/11/2020
Last updated
12/14/2021
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