Healthcare Provider Details

I. General information

NPI: 1073114278
Provider Name (Legal Business Name): LOVE FAMILY HEALTH CENTER CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 W FLAGLER ST STE 206B
MIAMI FL
33144-2039
US

IV. Provider business mailing address

8390 W FLAGLER ST STE 206B
MIAMI FL
33144-2039
US

V. Phone/Fax

Practice location:
  • Phone: 786-545-2205
  • Fax:
Mailing address:
  • Phone: 645-215-3075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DAYKELL DOLZ
Title or Position: PRESIDENT
Credential:
Phone: 786-545-2205