| Lifecore Inc | |
|
9526 Ne 2nd Ave Suite 202f Miami Shores FL 33138-2750 | |
| (305) 396-6360 | |
| Not Available |
| Full Name | Lifecore Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9526 Ne 2nd Ave, Miami Shores, Florida |
| Authorized Official Name and Position | Lauren Elizabeth Sonnenberg (PRESIDENT/OWNER) |
| Authorized Official Contact | 3053966360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecore Inc 9526 Ne 2nd Ave Suite 202f Miami Shores FL 33138-2750 Ph: (305) 396-6360 | Lifecore Inc 9526 Ne 2nd Ave Suite 202f Miami Shores FL 33138-2750 Ph: (305) 396-6360 |
| NPI Number | 1215352174 |
|---|---|
| Provider Enumeration Date | 02/28/2014 |
| Last Update Date | 02/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215352174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH10068 (Florida) | Primary |
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