DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LIFETIME MEDICAL CARE PA

Active Organization

LIFETIME MEDICAL CARE PA is a Primary Care Clinic organization located in ORANGE PARK, Florida. NPI 1790793016 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · ORANGE PARK, FL

Registration Details

NPI Number
1790793016
Provider Type
Organization
NPI Issued
Aug 3, 2006 (20.051898685411 yrs)
Last Updated
Nov 6, 2008
License
ME81222 (FL)

Practice Information

Address
2300 PARK AVE
SUITE 203
ORANGE PARK, FL, 320735571
Browse FL providers · Browse ZIP 32073
Phone
9042780016
Fax
9042784217
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.