Healthcare Provider Details

I. General information

NPI: 1780514836
Provider Name (Legal Business Name): VIRILELIFE HEALING SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19495 BISCAYNE BLVD STE 204
MIAMI FL
33180-2338
US

IV. Provider business mailing address

6000 ISLAND BLVD APT 703
AVENTURA FL
33160-3765
US

V. Phone/Fax

Practice location:
  • Phone: 732-814-3745
  • Fax:
Mailing address:
  • Phone: 732-814-3745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL SCHENKER
Title or Position: OWNER
Credential: MD
Phone: 732-814-3745