LIFELONG CARE CORP NPI 1851968291

NPI Information

NPI: 1851968291
Provider Name: LIFELONG CARE, CORP

Doing Business As: CONVENIENT MEDICAL CENTER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
259 E 49TH ST
HIALEAH, FL
ZIP 33013
Phone: (305) 918-2021
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LIFELONG CARE, CORP is a family nurse practitioner in Hialeah, FL. LIFELONG CARE, CORP NPI is 1851968291. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Convenient Medical Center.

The provider's business location address is:

259 E 49TH ST
HIALEAH, FL
ZIP 33013
Phone: (305) 918-2021
Fax: (786) 677-8444

The provider's authorized official is Rosbel Mirabal .
The authorized official title is Fnp / Owner and has the following contact phone number (786) 238-5581.

The CLIA number assigned to this NPI record is 10D2227588 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2021 and was last updated on 8/23/2021.

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	207Q00000X	Family Medicine				No
2	363LF0000X	Nurse Practitioner	Family			Yes

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

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