Organization
LIFE AND LEISURE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN GIL (ADMINISTRATOR)
(954) 599-4620
Entity
Organization
Contact information
Practice address
6320 MIRAMAR PKWY, STE F, MIRAMAR, FL 33023-3999
(954) 599-4620
Mailing address
6320 MIRAMAR PKWY, STE F, MIRAMAR, FL 33023-3999
(954) 599-4620
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
11/16/2016
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