Organization
LIFE WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO FRANCISCO RODRIGUEZ-MENENDEZ PH.D. (PRESIDENT)
(305) 525-3629
Entity
Organization
Contact information
Practice address
3119 CORAL WAY, SUITE 200, CORAL GABLES, FL 33145-3209
(305) 525-3629
(305) 969-1521
Mailing address
3119 CORAL WAY, SUITE 200, CORAL GABLES, FL 33145-3209
(305) 525-3629
(305) 969-1521
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PY5490
FL
Other
Enumeration date
04/11/2008
Last updated
07/30/2008
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