LIFE EXTENSION AND WELLNESS CENTER INC NPI 1386912079

NPI Details

LIFE EXTENSION AND WELLNESS CENTER INC is an internal medicine in Dania Beach, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. LIFE EXTENSION AND WELLNESS CENTER INC NPI is 1386912079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1418 S FEDERAL HWY
DANIA BEACH, FL
ZIP 33004-349
Phone: (954) 921-9555
Fax: (954) 921-9556

The provider's authorized official is Laura B Burke .
The authorized official title is Mcc and has the following contact phone number (954) 921-9555.

The CLIA number assigned to this NPI record is 10D1105791 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 11/21/2016.

Taxonomy Codes

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Other Identifiers

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