Organization
GOOD LIFE MEDICAL CENTER INC.
Active
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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