Organization
LIFETIME HEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL DUCONGER (PRESIDENT)
(786) 238-7982
Entity
Organization
Contact information
Practice address
11410 N KENDALL DR STE 307, MIAMI, FL 33176-1031
(786) 238-7982
(305) 463-1293
Mailing address
11410 N KENDALL DR STE 307, MIAMI, FL 33176-1031
(786) 238-7982
(305) 463-1293
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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