Organization
GOOD LIFE MEDICAL CENTER INC.
Active
Other names
Good Life Medical Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAMARIS PENUELA M.A (PRESIDENT)
(305) 599-5258
Entity
Organization
Contact information
Practice address
4995 NW 72ND AVE, 410, MIAMI, FL 33166-5643
(305) 599-5258
(305) 599-5259
Mailing address
4995 NW 72ND AVE, 410, MIAMI, FL 33166-5643
(305) 599-5258
(305) 599-5259
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA53708
FL
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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