Organization
HEALTHY LIFE MEDICAL PRACTICE. LLC
Active
Other names
BrainKlast
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUZ PATRICIA MORALES GONZALEZ MD (MD DIRECTOR/ OWNER)
(631) 946-4546
Entity
Organization
Contact information
Practice address
5925 IMPERIAL PKWY STE 117, MULBERRY, FL 33860-8692
(863) 304-5151
Mailing address
5925 IMPERIAL PKWY STE 117, MULBERRY, FL 33860-8692
(863) 304-5151
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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