CORE LIFE LINK INC NPI 1679487102

NPI Information

  • NPI: 1679487102
  • Provider Name: CORE LIFE LINK INC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • :
  • Address: 945 LANE AVE S
    JACKSONVILLE, FL
    ZIP 32205
  • Phone: (844) 444-3897

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NPI Details

CORE LIFE LINK INC is an infectious disease internal medicine in Jacksonville, FL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. CORE LIFE LINK INC NPI is 1679487102. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

945 LANE AVE S
JACKSONVILLE, FL
ZIP 32205-706
Phone: (844) 444-3897
Fax: (833) 445-6962

The provider's authorized official is Mhai Nang Agraba .
The authorized official title is Founder/ceo and has the following contact phone number (904) 614-8404.

The enumeration date for this NPI number is 10/1/2026 and was last updated on 10/1/2026.

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
1261Q00000XClinic/CenterNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineNo
4207RI0200XInternal MedicineInfectious DiseaseYes
52083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
6171M00000XCase Manager/Care CoordinatorNo

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: 11/21/2025

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