Organization
MED LIFE MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESMY JACOMINO (OWNER)
(786) 580-3897
Entity
Organization
Contact information
Practice address
8260 W FLAGLER ST STE 2M, MIAMI, FL 33144-2069
(786) 580-3897
(786) 452-8599
Mailing address
8260 W FLAGLER ST STE 2M, MIAMI, FL 33144-2069
(786) 580-3897
(786) 452-8599
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102179000
—
FL
Enumeration date
05/18/2021
Last updated
05/18/2021
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