Organization
ILIFE ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO FERNANDEZ (PRESIDENT)
(786) 380-9833
Entity
Organization
Contact information
Practice address
1031 IVES DAIRY RD, SUITE 228, MIAMI, FL 33179-2538
(786) 380-9833
Mailing address
4987 N UNIVERSITY DR, SUITE 27, LAUDERHILL, FL 33351-4506
(786) 380-9833
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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