Provider Demographics
NPI:1215202726
Name:LIFEPLUS HEALTHCARE GROUP, INC.
Entity Type:Organization
Organization Name:LIFEPLUS HEALTHCARE GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAMPAY MEIJIDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-779-0344
Mailing Address - Street 1:13550 SW 88TH ST STE 230
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1514
Mailing Address - Country:US
Mailing Address - Phone:786-779-0344
Mailing Address - Fax:
Practice Address - Street 1:13550 SW 88TH ST STE 230
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1514
Practice Address - Country:US
Practice Address - Phone:786-779-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-16
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Single Specialty