Provider Demographics
NPI:1992046155
Name:LIFE & HOPE MEDICAL CENTER , INC
Entity Type:Organization
Organization Name:LIFE & HOPE MEDICAL CENTER , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MAYBIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPOALEGRE
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:305-264-8800
Mailing Address - Street 1:85 GRAND CANAL DR STE 302
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2569
Mailing Address - Country:US
Mailing Address - Phone:305-264-8800
Mailing Address - Fax:305-264-8804
Practice Address - Street 1:85 GRAND CANAL DR STE 302
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2569
Practice Address - Country:US
Practice Address - Phone:305-264-8800
Practice Address - Fax:305-264-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA65054261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service