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Organization
LIFESPAN MEDICAL CENTER LLC
Active
Organization
LIFESPAN MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ESTHER MEDINA (CEO)
(786) 252-9131
Entity
Organization
Contact information
Practice address
2742 SW 8TH ST STE 11, MIAMI, FL 33135-4656
(786) 615-5819
(786) 615-5953
Mailing address
2742 SW 8TH ST STE 11, MIAMI, FL 33135-4656
(786) 615-5819
(786) 615-5953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
163W00000X
Registered Nurse
—
—
171100000X
Acupuncturist
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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