Organization
DELUXE LIFE MEDICAL GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINGO MORELL (V- PRESIDENT)
(305) 851-1260
Entity
Organization
Contact information
Practice address
4017 SW 152ND AVE, MIAMI, FL 33185-5919
(786) 409-5295
(786) 703-7908
Mailing address
4017 SW 152ND AVE, MIAMI, FL 33185-5919
(786) 409-5295
(786) 703-7908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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