# MED LIFE MEDICAL SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447824107
- **Authorized official:** LESMY JACOMINO (OWNER)
- **Authorized official phone:** (786) 580-3897

## Contact information

- **Practice address:** 8260 W FLAGLER ST STE 2M, MIAMI, FL 33144-2069
- **Practice address phone:** (786) 580-3897
- **Practice address fax:** (786) 452-8599
- **Mailing address:** 8260 W FLAGLER ST STE 2M, MIAMI, FL 33144-2069
- **Mailing address phone:** (786) 580-3897
- **Mailing address fax:** (786) 452-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2021
- **Last updated:** 05/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102179000 | — | FL |