Good Life Medical Center Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

MA53708 Issued in FL

Legal business name

GOOD LIFE MEDICAL CENTER INC.

Practice address

4995 NW 72ND Ave
410
Miami, FL 33166-5643

Phone

(305) 599-5258

Fax

(305) 599-5259

NPI assigned

Jun 4, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Damaris Penuela, M.A

Title

President

Phone

(305) 599-5258

Specialties & licenses 1

Addresses

Other names 1

• Good Life Medical Center Inc. Former legal business name

Locations

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1831419589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 NW 72ND AVE",
            "address_2": "410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665643",
            "telephone_number": "305-599-5258",
            "fax_number": "305-599-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 NW 72ND AVE",
            "address_2": "410",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331665643",
            "telephone_number": "305-599-5258",
            "fax_number": "305-599-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "PENUELA",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-599-5258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "MA53708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Life Medical Center Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Good Hands Rehabilitation Center
• Good Home Care Inc
• Good Hope Equestrian Training Center, Inc.
• Good Life Health Corp
• Good Life Home Health LLC
• Good Life Solutions Inc
• Good Pharmacy
• Good Psychotherapy Services
• Good Samaritan Community Health, Inc.
• Good Samaritan Home

• Physical Therapy Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.