ACTIVE LIFE SOLUTIONS INC. NPI 1871819532

NPI Information

NPI: 1871819532
Provider Name: ACTIVE LIFE SOLUTIONS, INC.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
850 W INDIANTOWN RD
SUITE C
JUPITER, FL
ZIP 33458
Phone: (561) 386-8311
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ACTIVE LIFE SOLUTIONS, INC. is a health service clinic center in Jupiter, FL. ACTIVE LIFE SOLUTIONS, INC. NPI is 1871819532. The provider is registered as an organization entity type.

The provider's business location address is:

850 W INDIANTOWN RD
SUITE C
JUPITER, FL
ZIP 33458-539
Phone: (561) 386-8311
Fax: (561) 748-8551

The provider's authorized official is Paul A Laine .
The authorized official title is President and has the following contact phone number (561) 758-8810.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 4/20/2010.

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	261QH0100X	Clinic/Center	Health Service	ME0076092	FLORIDA	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: 5/5/2024

NPI Synchronization or Removal

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