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LIFE LINE MEDICAL GROUP INC
NPI 1174122337
General Practice in Miami, FL

Active since October 20, 2020
12595 SW 137TH AVE STE 206, MIAMI, FL 33186(786) 474-0541 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Life Line Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE LINE MEDICAL GROUP INC (NPI 1174122337) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since October 2020. The organization lists Eulogio Emiliano Benitez, President, as its authorized official.

NPPES Registry Identity

NPI1174122337
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIFE LINE MEDICAL GROUP INC
Location Address12595 SW 137TH AVE STE 206Miami, FL 33186-4221
Mailing Address12595 Sw 137th Ave Ste 206Miami, FL 33186-4221 · (786) 474-0541
Phone(786) 474-0541
Organization SubpartNo
Authorized OfficialEulogio Emiliano BenitezPresident · (786) 474-0541
Enumeration DateOctober 20, 2020
NPPES CertifiedOctober 20, 2020
✔ NPI 1174122337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
12595 SW 137TH AVE STE 206, Miami, FL 33186
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Line Medical Group Inc's NPI number?

The NPI number for Life Line Medical Group Inc is 1174122337. It was assigned to this organization in the NPPES registry on October 20, 2020.

Where is Life Line Medical Group Inc located?

Life Line Medical Group Inc is located at 12595 SW 137th Ave Ste 206, Miami, FL 33186. The listed phone number is (786) 474-0541.

What is Life Line Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Life Line Medical Group Inc was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.