LIFESTYLES HEALTHCARE GROUP PA NPI 1609313246

NPI Information

NPI: 1609313246
Provider Name: LIFESTYLES HEALTHCARE GROUP PA

Doing Business As: LIFESTYLES CHIROPRACTIC

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
11300 LINDBERGH BLVD STE 110
FORT MYERS, FL
ZIP 33913
Phone: (239) 334-9355
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LIFESTYLES HEALTHCARE GROUP PA is a medical physician assistant in Fort Myers, FL. LIFESTYLES HEALTHCARE GROUP PA NPI is 1609313246. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lifestyles Chiropractic.

The provider's business location address is:

11300 LINDBERGH BLVD STE 110
FORT MYERS, FL
ZIP 33913-827
Phone: (239) 334-9355

The provider's authorized official is Darin W Stokke .
The authorized official title is President and has the following contact phone number (239) 334-9355.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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