Provider Demographics
NPI:1386061646
Name:BETTER LIVING MEDICAL CENTER
Entity type:Organization
Organization Name:BETTER LIVING MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OELSNER
Authorized Official - Middle Name:
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-630-9295
Mailing Address - Street 1:11140 SW 88TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-0901
Mailing Address - Country:US
Mailing Address - Phone:305-630-9295
Mailing Address - Fax:786-732-0505
Practice Address - Street 1:11140 SW 88TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-0901
Practice Address - Country:US
Practice Address - Phone:305-630-9295
Practice Address - Fax:786-732-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7867320505OtherCOMERCIAL INS.