Healthcare Provider Details
I. General information
NPI: 1386061646
Provider Name (Legal Business Name): BETTER LIVING MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/25/2014
Last Update Date: 03/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11140 SW 88TH ST SUITE 100
MIAMI FL
33176-0901
US
IV. Provider business mailing address
11140 SW 88TH ST SUITE 100
MIAMI FL
33176-0901
US
V. Phone/Fax
- Phone: 305-630-9295
- Fax: 786-732-0505
- Phone: 305-630-9295
- Fax: 786-732-0505
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name:
OELSNER
VIERA
Title or Position: PRESIDENT
Credential: ARNP
Phone: 305-630-9295