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Contact Information

ILLUMINATING LIVES CORP
11510 SW 80TH ST
MIAMI, FL33173-3603
 Phone: 786-282-9935
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ILLUMINATING LIVES CORP

NPI Number 1326333634
LBN Legal business name ILLUMINATING LIVES CORP
Authorized official ROSARIO VALLADARES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2011
Last updated 07/10/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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