GOOD LIFE MEDICAL CENTER INC. (NPI# 1831419589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831419589 |
| Entity Type | Organization |
| Organization Name | GOOD LIFE MEDICAL CENTER INC. |
| Other Organization Name | GOOD LIFE MEDICAL CENTER INC. |
| Practice Address |
4995 Nw 72nd Ave 410 Miami FL 33166-5643 |
| Practice Telephone | 3055995258 |
| Practice Fax Number | 3055995259 |
| Mailing Telephone | 3055995258 |
| Mailing Fax Number | 3055995259 |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |
| Authorized Official Name | MRS. DAMARIS PENUELA (PRESIDENT) |
| Authorized Official Telephone | 3055995258 |
| Authorized Official Credential | M.A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MA53708 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Good Life Medical Center Inc. | Former Legal Business Name - Organization |
| Street Address |
4995 NW 72ND AVE 410 |
| City | MIAMI |
| State | FL |
| Zip Code | 33166-5643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225089808 | Medical Center of Doral | Specialist | 4995 Nw 72nd Ave, Miami, FL 33166-5643 | 2006-05-16 |
| 1841631850 | Apple Health Care Inc | Clinic/Center | 4995 Nw 72nd Ave, Ste 404, Miami, FL 33166-5643 | 2013-07-08 |
| 1396180329 | Adisley Diaz | Clinic/Center | 4995 Nw 72nd Ave, 409, Miami, FL 33166-5643 | 2013-05-03 |
| 1841596616 | Care Pro D & D Inc. | In Home Supportive Care | 4995 Nw 72nd Ave, Ste 203, Miami, FL 33166-5643 | 2011-01-26 |
| 1700187507 | K&s Physical Group Corp | Rehabilitation Unit | 4995 Nw 72nd Ave, 204, Miami, FL 33166-5643 | 2010-11-10 |
| 1275845315 | Juber Imaging Inc | Clinic/Center | 4995 Nw 72nd Ave, Suite 303 A, Miami, FL 33166-5643 | 2010-07-06 |
| 1306023999 | William Rojas | Chiropractor | 4995 Nw 72nd Ave, Suite # 405, Miami, FL 33166-5643 | 2008-01-25 |
| 1699789958 | D and A Therapy Center | Contractor | 4995 Nw 72nd Ave, Miami, FL 33166-5643 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
| 1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
| 1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
| 1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
| 1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
| 1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
| 1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
| 1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
| 1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
| 1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
| Find all providers in zip 33166 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 1144832783 | Gregoria Medical Center Corp | Clinic/Center | 13155 Sw 134th St Ste 221a, Miami, FL 33186-4489 | 2020-08-17 |
| 1588275911 | Jimenez Wellness and Rehab Center LLC | Clinic/Center | 1042 Nw 87th Ave Apt 102, Miami, FL 33172-3029 | 2020-08-10 |
| 1962011221 | Pinecrest Strength & Conditioning, L.L.C. | Clinic/Center | 7040 Sw 44th St, Miami, FL 33155-4609 | 2020-07-23 |
| 1063020311 | Final Touch Therapy Center Corp | Clinic/Center | 4790 Nw 7th St Ste 102, Miami, FL 33126-2200 | 2020-07-22 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.