OrganizationActive
Heaven on Earth Healthy Life
NPI 1689965055 · Pain Clinic/Center · Winter Park, FL
Provider details
- NPI number
- 1689965055
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paola Mendoza, Cfo(407) 222-3069
- License
- MA 50907 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
305 N Lakemont Ave
305 N. Lakemont Ave
Winter Park, FL 32792-3204
Phone: (407) 222-3069
Approximate (ZIP-level) locationGet directions
Mailing address
305 N Lakemont Ave
Winter Park, FL 32792-3204
Registry dates
- Enumerated
- 2011-04-20
- Last updated
- 2011-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.