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Organization

LIFESPAN MEDICAL CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA ESTHER MEDINA (CEO)
(786) 252-9131
Entity
Organization

Contact information

Practice address
2742 SW 8TH ST STE 11, MIAMI, FL 33135-4656
(786) 615-5819
(786) 615-5953
Mailing address
2742 SW 8TH ST STE 11, MIAMI, FL 33135-4656
(786) 615-5819
(786) 615-5953

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
122300000X
Dentist
152W00000X
Optometrist
163W00000X
Registered Nurse
171100000X
Acupuncturist
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207W00000X
Ophthalmology Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
208100000X
Physical Medicine & Rehabilitation Physician
2084P0800X
Psychiatry Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
12/09/2022
Last updated
12/09/2022
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