Organization
NEW LIFE THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAZARO DAVID RODRIGUEZ D.C. (PRESIDENT/OWNER)
(305) 718-8525
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE STE 461, DORAL, FL 33166-6599
(305) 718-8525
(305) 718-8595
Mailing address
3900 NW 79TH AVE STE 461, DORAL, FL 33166-6599
(305) 718-8525
(305) 718-8595
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MM25735
FL
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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