LONG LIFE MEDICAL INC (NPI# 1316912975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316912975 |
| Entity Type | Organization |
| Organization Name | LONG LIFE MEDICAL INC |
| Practice Address |
2780 Sw 87th Ave Suite 104 Miami FL 33165-3296 |
| Mailing Address |
2780 Sw 87 Ave Ste 104 Miami FL 33165 |
| Practice Telephone | 3055527723 |
| Practice Fax Number | 3055527791 |
| Mailing Telephone | 3055527723 |
| Mailing Fax Number | 3055527791 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-03-28 |
| Authorized Official Name | ENRIQUE FRAXEDAS (PRESIDENT) |
| Authorized Official Telephone | 3055527723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
MCC4499 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSF | 34637 | 01 |
| Street Address |
2780 SW 87TH AVE SUITE 104 |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407397805 | Wellness Rehabilitation Center of Tamiami, Inc | Clinic/Center | 2780 Sw 87th Ave, Suite 110, Miami, FL 33165-3296 | 2017-03-17 |
| 1275836330 | Marisela Gonzalez M.d.p.a. | General Practice | 2780 Sw 87th Ave, Suite 100, Miami, FL 33165-3296 | 2010-12-13 |
| 1457594293 | Dazoli Enterprises, Inc | Physical Therapist | 2780 Sw 87th Ave, Suite 110, Miami, FL 33165-3296 | 2009-04-09 |
| 1134360134 | Healthy Life Home Care, Inc | Home Health | 2780 Sw 87th Ave, Suite 108, Miami, FL 33165-3296 | 2009-03-20 |
| 1932354024 | Community Mental Health Services Inc | Clinic/Center | 2780 Sw 87th Ave, 110, Miami, FL 33165-3296 | 2008-11-18 |
| 1831254556 | Tlc Rehabilitation Service Inc | Clinic/Center | 2780 Sw 87th Ave, Suite 108, Miami, FL 33165-3296 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871132183 | Abc Pediatrics of Florida Inc | Clinic/Center | 14856 Nw 7th Ave, Miami, FL 33168-3106 | 2020-01-03 |
| 1326696758 | Pedikidz Ppec | Clinic/Center | 7800 Sw 87th Ave Ste A-100, Miami, FL 33173-3570 | 2019-08-28 |
| 1760990394 | Pedikidz of Florida | Clinic/Center | 9301 Sw 56th St Ste C, Miami, FL 33165-6559 | 2018-01-17 |
| 1427479724 | Asa Center LLC | Clinic/Center | 9260 Hammocks Blvd, Suite 202, Miami, FL 33196-1503 | 2014-01-03 |
| 1376501098 | Pedi Pec | Clinic/Center | 15839 Nw 2nd Ave, Miami, FL 33169-6711 | 2006-05-02 |
| 1629697974 | Health Care Holdings, LLC. | Clinic/Center | 815 Nw 57th Ave Ste 125, Miami, FL 33126-2068 | 2020-04-15 |
| 1982942207 | Kids Choice Pediatric Day Care Center | Clinic/Center | 7900 Nw 27th Ave, Suite D-5, Miami, FL 33147-4909 | 2013-01-21 |
| 1811040249 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 1477 Nw 8th Ave, Miami, FL 33136-1425 | 2007-01-19 |
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|---|---|---|---|---|
| 1326647363 | Shining Stars Pediatric Extended Care, LLC | Clinic/Center | 5201 Ravenswood Rd Ste 110, Ft Lauderdale, FL 33312-6004 | 2020-10-21 |
| 1275131575 | Angels On Earth Ppec, Inc. | Clinic/Center | 335 Pineda Ct Ste 104, Melbourne, FL 32940-7504 | 2020-10-09 |
| 1609488840 | Gencare Kids, LLC | Clinic/Center | 2557 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4993 | 2020-08-19 |
| 1659982742 | Banyan Pediatric Care Centers Pasco, LLC | Clinic/Center | 4008 Little Rd, New Port Richey, FL 34655-1719 | 2020-08-12 |
| 1205447398 | Banyan Pediatric Care Centers Sarasota, LLC | Clinic/Center | 3251 17th St Unit 200, Sarasota, FL 34235-8900 | 2020-08-12 |
| 1992330757 | Angels On Earth Ppec, Inc. | Clinic/Center | 110 Patterson Rd Ste 2, Haines City, FL 33844-7840 | 2020-03-11 |
| 1669004206 | Angels Special Care Inc | Clinic/Center | 17571 S Dixie Hwy, Palmetto Bay, FL 33157-5435 | 2020-02-11 |
| 1548801848 | Caresquare of Florida LLC | Clinic/Center | 100 S Congress Ave Ste 2230e, Delray Beach, FL 33445-4642 | 2019-10-08 |
| 1255988390 | The Wonderkids Center, LLC | Clinic/Center | 7100 W Commercial Blvd Ste 104, Lauderhill, FL 33319-2147 | 2019-08-22 |
| 1285290759 | Little Angels Pediatric Extended Care LLC | Clinic/Center | 1400 W State Road 434 Ste 1000, Longwood, FL 32750-3817 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.