Organization
LIFETIME OF AVENTURA
Active
Organization
LIFETIME OF AVENTURA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL COHEN (VICE PRESIDENT)
(305) 931-0504
Entity
Organization
Contact information
Practice address
21150 BISCAYNE BLVD, SUITE 302, AVENTURA, FL 33180-1226
(305) 931-0504
(305) 931-9606
Mailing address
21150 BISCAYNE BLVD, SUITE 302, AVENTURA, FL 33180-1226
(305) 931-0504
(305) 931-9606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC5753
FL
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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