NPI 1619417102
Miami Lice LLC
Practice location
- Address
- 1801 Coral Way Suite #320, Miami, FL 33145-2790
- Phone
- (305) 907-2121
Authorised official
- Name
- Heather C Wilson O'Connor
- Title
- Ceo
- Phone
- (305) 389-4430
Registered specialties
Other Technician
Primary
Registry record
- NPI
- 1619417102
- Entity type
- Organization
- NPI issued
- 2 Mar 2017
- Record last updated
- 2 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.