Organization
TREE OF LIFE MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILYN LOPEZ OLIVERA (OWNER)
(786) 773-5216
Entity
Organization
Contact information
Practice address
3625 NW 82ND AVE STE 306, DORAL, FL 33166-7601
(786) 337-3708
Mailing address
3625 NW 82ND AVE STE 306, DORAL, FL 33166-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
05/21/2025
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