LIFE EXTENSION CLINICS NPI 1861852535

NPI Information

  • NPI: 1861852535
  • Provider Name: LIFE EXTENSION CLINICS
  • Classification: Clinic/Center - 261QX0100X
  • Specialization: Occupational Medicine
  • Entity Type: Organization
  • Address: 4130 SALISBURY RD STE 2400
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 296-1790

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NPI Details

LIFE EXTENSION CLINICS is an occupational medicine clinic center in Jacksonville, FL. LIFE EXTENSION CLINICS NPI is 1861852535. The provider is registered as an organization entity type.

The provider's business location address is:

4130 SALISBURY RD STE 2400
JACKSONVILLE, FL
ZIP 32216-052
Phone: (904) 296-1790

The provider's authorized official is Anthony Capasso .
The authorized official title is Medical Director and has the following contact phone number (904) 296-1790.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 2/24/2016.

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
1261QX0100XClinic/CenterOccupational MedicineARNP9414152FLORIDAYes

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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