Organization
FOREVER HEALTHY LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGOBERTO NAVIA LA ROSA LMT (OWNER)
(305) 793-8195
Entity
Organization
Contact information
Practice address
3934 SW 8TH ST STE 308, CORAL GABLES, FL 33134-2949
(305) 793-8195
Mailing address
3934 SW 8TH ST STE 308, CORAL GABLES, FL 33134-2949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME65756
FL
208100000X
Physical Medicine & Rehabilitation Physician
PT1567
FL
261QM2500X
Medical Specialty Clinic/Center
Primary
ME65756
FL
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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