Medilife Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MEDILIFE MENTAL HEALTH LLC

Practice address

4705 SW 148TH Ave Ste 102
Davie, FL 33330-2123

Phone

(954) 349-6378

Fax

(954) 983-2889

NPI assigned

Sep 2, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yul Lopez, PMHNP-BC

Title

Owner

Phone

(813) 599-2784

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1689583197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 SW 148TH AVE STE 102",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 SW 148TH AVE STE 102",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333302123",
            "telephone_number": "954-349-6378",
            "fax_number": "954-983-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILIFE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-599-2784",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Davie, FL
• Providers in Davie, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.