Organization
LIFE HOMESTEAD MEDICAL CENTER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA GONZALEZ (PRESIDENT)
(786) 534-5090
Entity
Organization
Contact information
Practice address
13701 SW 88TH ST STE 303A, MIAMI, FL 33186-1309
(786) 534-5090
(786) 534-5090
Mailing address
13701 SW 88TH ST STE 303A, MIAMI, FL 33186-1309
(786) 534-5090
(786) 534-5090
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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