Healthcare Provider Details

I. General information

NPI: 1215202726
Provider Name (Legal Business Name): LIFEPLUS HEALTHCARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2012
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 SW 88TH ST STE 230
MIAMI FL
33186-1514
US

IV. Provider business mailing address

13550 SW 88TH ST STE 230
MIAMI FL
33186-1514
US

V. Phone/Fax

Practice location:
  • Phone: 786-779-0344
  • Fax:
Mailing address:
  • Phone: 786-779-0344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: AMELIA LLAMPAY MEIJIDES
Title or Position: OWNER
Credential:
Phone: 786-779-0344