Healthcare Provider Details

I. General information

NPI: 1720964836
Provider Name (Legal Business Name): AMARELIFE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 HOLLYWOOD BLVD STE 5522
HOLLYWOOD FL
33020-4821
US

IV. Provider business mailing address

2719 HOLLYWOOD BLVD STE 5522
HOLLYWOOD FL
33020-4821
US

V. Phone/Fax

Practice location:
  • Phone: 305-317-0291
  • Fax:
Mailing address:
  • Phone:
  • Fax: 305-317-0291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURIE JEAN BAPTISTE
Title or Position: OWNER
Credential: NP
Phone: 305-317-0291