Healthcare Provider Details

I. General information

NPI: 1720154123
Provider Name (Legal Business Name): LIFE CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W 41ST ST
MIAMI BEACH FL
33140-3637
US

IV. Provider business mailing address

300 W 41ST ST
MIAMI BEACH FL
33140-3637
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-0911
  • Fax: 305-674-0912
Mailing address:
  • Phone: 305-674-0911
  • Fax: 305-674-0912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberHCC7300
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberHCC7300
License Number StateFL

VIII. Authorized Official

Name: JOSE PARAFITA
Title or Position: OWNER
Credential:
Phone: 786-356-1794