Organization
LIFE MED CENTER ASSOC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS O GASCA MD (PRESIDENT)
(786) 762-2474
Entity
Organization
Contact information
Practice address
7171 CORAL WAY STE 404, MIAMI, FL 33155-1693
(786) 762-2474
(786) 953-5613
Mailing address
434 SW 12TH AVE STE 300, MIAMI, FL 33130-2433
(786) 762-2474
(786) 953-5613
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
FL
Other
Enumeration date
10/14/2015
Last updated
07/21/2022
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