Organization
ETERNAL LIFE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANDRO JAVIER CORBELLE (CEO)
(786) 306-3507
Entity
Organization
Contact information
Practice address
7382 NW 35TH TER STE 106, MIAMI, FL 33122-1241
(786) 306-3507
Mailing address
9207 SW 147TH CT, MIAMI, FL 33196-4112
(786) 306-3507
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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