Long Life Medical INC

NPI #1316912975 in Miami, Florida

Provider Information

NPI Number: 1316912975
Entity Type: Organization
Organization Name: Long Life Medical INC
Primary Specialty: Clinic/Center - Medically Fragile Infants and Children Day Care
Enumeration Date: Feb 17, 2006
Last Updated: Mar 28, 2008

Practice Location

Address: 2780 SW 87TH AVE
Address 2: SUITE 104
City: Miami
State: Florida
ZIP Code: 33165-3296
Phone: (305) 552-7723

Authorized Official

Name: ENRIQUE FRAXEDAS
Title: PRESIDENT
Phone: (305) 552-7723

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medically Fragile Infants and Children Day Care — Medically Fragile Infants and Children Day Care	261QM3000X	Primary

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