Organization
HEALTHY LIFE ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE PENA (MANAGER)
(954) 906-4141
Entity
Organization
Contact information
Practice address
6041 KIMBERLY BLVD STE K, NORTH LAUDERDALE, FL 33068-2816
(954) 906-4141
Mailing address
6041 KIMBERLY BLVD STE K, NORTH LAUDERDALE, FL 33068-2816
(954) 906-4141
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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