Provider Demographics
NPI:1457905671
Name:DR BEHLING LLC
Entity Type:Organization
Organization Name:DR BEHLING LLC
Other - Org Name:LIFERESTORE MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BEHLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-271-8385
Mailing Address - Street 1:100 SE 2ND STREET, SUITE 2000-PMB #097
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131
Mailing Address - Country:US
Mailing Address - Phone:786-592-6373
Mailing Address - Fax:
Practice Address - Street 1:800 S DOUGLAS RD STE 880
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2088
Practice Address - Country:US
Practice Address - Phone:786-254-7778
Practice Address - Fax:786-524-2252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty