| The Lighthouse Project, Llc | |
|
113 Curtiss Pkwy Miami Springs FL 33166-5220 | |
| (786) 535-0453 | |
| Not Available |
| Full Name | The Lighthouse Project, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 113 Curtiss Pkwy, Miami Springs, Florida |
| Authorized Official Name and Position | Marlyn Ortega (DIRECTOR) |
| Authorized Official Contact | 7865350453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lighthouse Project, Llc 113 Curtiss Pkwy Miami Springs FL 33166-5220 Ph: (786) 535-0453 | The Lighthouse Project, Llc 113 Curtiss Pkwy Miami Springs FL 33166-5220 Ph: (786) 535-0453 |
| NPI Number | 1184018905 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184018905 | NPI | - | NPPES |
| 016420400 | Medicaid | FL | |
| 017504300 | Medicaid | FL | |
| 108167000 | Medicaid | FL |
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