Provider Demographics
NPI:1053107227
Name:MYLYFE HEALTH MA PC
Entity type:Organization
Organization Name:MYLYFE HEALTH MA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OF MANAGEMENT COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-314-6098
Mailing Address - Street 1:855 SW 78TH AVE # C200
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3223
Mailing Address - Country:US
Mailing Address - Phone:954-385-7322
Mailing Address - Fax:954-385-7322
Practice Address - Street 1:145 WARD HILL AVE STE 100
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-6928
Practice Address - Country:US
Practice Address - Phone:844-469-5933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty