Provider Demographics
NPI:1154484681
Name:BEAT OF LIFE HEALTH SYSTEMS INC
Entity Type:Organization
Organization Name:BEAT OF LIFE HEALTH SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:AZOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-223-2420
Mailing Address - Street 1:9600 SW 8TH ST
Mailing Address - Street 2:STE 35
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2900
Mailing Address - Country:US
Mailing Address - Phone:305-223-2420
Mailing Address - Fax:305-223-6520
Practice Address - Street 1:9600 SW 8TH ST
Practice Address - Street 2:STE 35
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2900
Practice Address - Country:US
Practice Address - Phone:305-223-2420
Practice Address - Fax:305-223-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5518207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5857Medicare ID - Type Unspecified