1285222166 NPI number — LIFE SPRING RESEARCH FOUNDATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285222166 NPI number — LIFE SPRING RESEARCH FOUNDATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIFE SPRING RESEARCH FOUNDATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285222166
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
432 SW 8TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33130-2507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-409-3785
Provider Business Mailing Address Fax Number:
786-409-2253

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
432 SW 8TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33130-2507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-409-3785
Provider Business Practice Location Address Fax Number:
786-409-2253
Provider Enumeration Date:
01/06/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
YVETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER SITE DIRECTOR
Authorized Official Telephone Number:
786-436-4155

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)