Organization
NEW LIFE MEDICAL INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO RODRIGUEZ (PRESIDENT)
(305) 857-9800
Entity
Organization
Contact information
Practice address
861 SW 8TH ST, MIAMI, FL 33130-3703
(305) 300-8315
Mailing address
861 SW 8TH ST, MIAMI, FL 33130-3703
(305) 300-8315
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014747400
—
FL
Enumeration date
07/13/2021
Last updated
07/13/2021
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