Organization
FLORIDA LIFE RECOVERY AND REHABILITATION LLC
Active
Other names
Pacheco Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA PACHECO (OFFICE MANAGER)
(305) 960-7104
Entity
Organization
Contact information
Practice address
590 E 49TH ST, HIALEAH, FL 33013-1962
(305) 960-7104
(305) 907-5221
Mailing address
590 E 49TH ST, HIALEAH, FL 33013-1962
(305) 960-7104
(305) 907-5221
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105937600
—
FL
Enumeration date
11/13/2017
Last updated
12/07/2022
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