# MEDLIFE WELLNESS THERAPY LLC

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

## Provider details

- **NPI number:** 1821621350
- **Authorized official:** CLAUDIO SOBERANES (MANAGER)
- **Authorized official phone:** (786) 581-9698

## Contact information

- **Practice address:** 8950 SW 152ND ST STE F, PALMETTO BAY, FL 33157-1901
- **Practice address phone:** (786) 581-9698
- **Mailing address:** 8950 SW 152ND ST STE F, PALMETTO BAY, FL 33157-1901
- **Mailing address phone:** (786) 581-9698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2020
- **Last updated:** 02/12/2020