Healthcare Provider Details

I. General information

NPI: 1427569003
Provider Name (Legal Business Name): LIFE & WELLNESS HEALTH CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7949 NW 2ND ST
MIAMI FL
33126-8000
US

IV. Provider business mailing address

7949 NW 2ND ST
MIAMI FL
33126-8000
US

V. Phone/Fax

Practice location:
  • Phone: 305-267-6060
  • Fax: 305-267-6055
Mailing address:
  • Phone: 305-267-6060
  • Fax: 305-267-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARBARA SUAREZ
Title or Position: OWNER
Credential:
Phone: 305-267-6060