| Lifetime Of Aventura | |
|
21150 Biscayne Blvd Suite 302 Aventura FL 33180-1226 | |
| (305) 931-0504 | |
| (305) 931-9606 |
| Full Name | Lifetime Of Aventura |
|---|---|
| Speciality | Clinic/center |
| Location | 21150 Biscayne Blvd, Aventura, Florida |
| Authorized Official Name and Position | Daniel Cohen (VICE PRESIDENT) |
| Authorized Official Contact | 3059310504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Of Aventura 21150 Biscayne Blvd Suite 302 Aventura FL 33180-1226 Ph: (305) 931-0504 | Lifetime Of Aventura 21150 Biscayne Blvd Suite 302 Aventura FL 33180-1226 Ph: (305) 931-0504 |
| NPI Number | 1225050180 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225050180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC5753 (Florida) | Primary |
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