Organization
TREE OF LIFE MEDICAL CENTER CORP
Active
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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