Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Blue Medical Center Corp

Organization Physical Medicine & Rehabilitation Physician · NPI 1558898577

Life Blue Medical Center Corp is a Physical Medicine & Rehabilitation Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12260 SW 8th St Ste 230
Miami, FL 33184-1549
Phone: (305) 456-5380
Fax: (305) 631-2638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence HCC11034 (FL)

Record details

NPI number1558898577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Hernandez — Owner · (305) 456-5380
NPI enumeratedMay 22, 2017
Last updated in NPPESJuly 21, 2022
Mailing address12260 Sw 8th St Ste 230, Miami, FL 33184-1549

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