FLORIDA LIFE RECOVERY AND REHABILITATION LLC NPI 1215440227

NPI Information

NPI: 1215440227
Provider Name: FLORIDA LIFE RECOVERY AND REHABILITATION LLC

Doing Business As: PACHECO MEDICAL CENTERS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
590 E 49TH ST
HIALEAH, FL
ZIP 33013
Phone: (305) 960-7104
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FLORIDA LIFE RECOVERY AND REHABILITATION LLC is a primary care clinic center in Hialeah, FL. FLORIDA LIFE RECOVERY AND REHABILITATION LLC NPI is 1215440227. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacheco Medical Centers.

The provider's business location address is:

590 E 49TH ST
HIALEAH, FL
ZIP 33013-962
Phone: (305) 960-7104
Fax: (305) 907-5221

The provider's authorized official is Angelica Pacheco .
The authorized official title is Office Manager and has the following contact phone number (305) 960-7104.

The enumeration date for this NPI number is 11/13/2017 and was last updated on 12/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105937600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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