Illuminating Lives Corp is a
Early Intervention Provider Agency based in Miami, Florida. Illuminating Lives Corp is licensed to practice in * (Not Available) (license number ) and their current practice location is
11510 Sw 80th St, Miami, Florida. It can be reached at their office (for appointments etc.) via phone at
(786) 282-9935.
NPI number for Illuminating Lives Corp is 1326333634 and their current mailing address is 11510 Sw 80th St, Miami, Florida. Illuminating Lives Corp
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1326333634.
Healthcare Provider's Profile
| Full Name | Illuminating Lives Corp |
|---|
| Type | Facility |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 11510 Sw 80th St, Miami, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326333634
- Provider Enumeration Date: 06/14/2011
- Last Update Date: 07/10/2014
Medical Identifiers
Medical identifiers for Illuminating Lives Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326333634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Illuminating Lives Corp is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Illuminating Lives Corp
11510 Sw 80th St,
Miami, FL 33173-3603
Ph: () - | Illuminating Lives Corp
11510 Sw 80th St,
Miami, FL 33173-3603
Ph: (786) 282-9935 |
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