Organization
MEDILIFE USA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS FERNANDEZ (PRESIDENT)
(305) 971-6676
Entity
Organization
Contact information
Practice address
13270 SW 131 STREET, SUITE 131, MIAMI, FL 33186
(305) 971-6676
(305) 971-6907
Mailing address
13270 SW 131 STREET, SUITE 131, MIAMI, FL 33186
(305) 971-6676
(305) 971-6907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R9610
BLUE CROSS OF FL
FL
Enumeration date
12/23/2005
Last updated
08/22/2020
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