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

Life Line Medical Group Inc

Organization General Practice Physician · NPI 1174122337

Life Line Medical Group Inc is a General Practice Physician in Miami, Florida. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12595 SW 137th Ave Ste 206
Miami, FL 33186-4221
Phone: (786) 474-0541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1174122337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eulogio Benitez — President · (786) 474-0541
NPI enumeratedOctober 20, 2020
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing address12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221

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