Organization
NUE LIFE MEDICAL GROUP (DE), P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN MEDRANO MD (PRESIDENT)
(305) 985-6170
Entity
Organization
Contact information
Practice address
309 23RD ST STE 230, MIAMI BEACH, FL 33139-1700
(305) 985-6170
(305) 985-6170
Mailing address
309 23RD ST STE 230, MIAMI BEACH, FL 33139-1700
(305) 985-6170
(305) 985-6170
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
12/26/2022
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