| NPI | 1831419589 |
|---|---|
| Former Legal Business Name | GOOD LIFE MEDICAL CENTER INC. |
| Entity Type | Organization |
| Authorized Contact | DAMARIS PENUELA President 305-599-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: FL MA53708) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |