Long Life Medical Inc

LBN: Long Life Medical Inc
Long Life Medical Inc is an health care organization with primary practice located at 2780 Sw 87Th Ave Suite 104, Miami FL 33165-3296. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as the primary health care specialty. Long Life Medical Inc can be contacted via phone (305) 552-7723, or through Fraxedas, Enrique via phone (305) 552-7723.

Contact Information

Primary practice address
2780 Sw 87Th Ave Suite 104 Miami FL 33165-3296
Phone: (305) 552-7723
Fax: (305) 552-7791
Website:
Map and Directions
Authorized official contact:
Name: Fraxedas, Enrique
Phone: (305) 552-7723

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care 261QM3000X MCC4499 Florida

Profile Details

NPI number 1316912975
LBN Legal business name Long Life Medical Inc
DBA Doing business as
Authorized official Fraxedas, Enrique
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2006
Last updated Mar 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316912975 NPPES
Other 34637 BCBSF

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