Organization
SKILLS FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY BAMONTE (OWNER)
(305) 742-3028
Entity
Organization
Contact information
Practice address
7149 SW 103RD COURT CIR, MIAMI, FL 33173-1331
(305) 742-3028
Mailing address
7149 SW 103RD COURT CIR, MIAMI, FL 33173-1331
(305) 742-3028
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760568737
—
FL
Enumeration date
05/22/2023
Last updated
05/22/2023
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