Organization
ETERNITY LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEISY ORTIZ-JORRIN (PRESIDENT)
(786) 257-7423
Entity
Organization
Contact information
Practice address
12350 SW 132ND CT STE 205, MIAMI, FL 33186-6458
(786) 732-4811
(786) 732-4812
Mailing address
12350 SW 132ND CT STE 205, MIAMI, FL 33186-6458
(786) 257-7423
(786) 732-4812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/28/2026
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