LIFE EXTENSION AND WELLNESS CENTER INC – Internal Medicine Physician, NPI 1386912079

LIFE EXTENSION AND WELLNESS CENTER INC is a healthcare provider. based in Dania beach, Florida. specializing in Internal Medicine Physician. The NPI Number for LIFE EXTENSION AND WELLNESS CENTER INC is 1386912079

Main info

Organization
Name
LIFE EXTENSION AND WELLNESS CENTER INC
NPI
1386912079
Phone
(954) 921-9555
Address
1418 S FEDERAL HWY
Authorized Official
LAURA B BURKE MCC
Enumeration Date
8 December 2011
Last Update Date
21 November 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for LIFE EXTENSION AND WELLNESS CENTER INC

  • 1418 S FEDERAL HWY

    DANIA BEACH, FL 330044349

    Phone: (954) 921-9555

    Fax: (954) 921-9556

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33004)

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Reviews

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Frequently asked questions

What is the registry number for LIFE EXTENSION AND WELLNESS CENTER INC?
The registry entry for LIFE EXTENSION AND WELLNESS CENTER INC shows NPI 1386912079.
Should I treat LIFE EXTENSION AND WELLNESS CENTER INC as an active provider?
Patients and plans typically see LIFE EXTENSION AND WELLNESS CENTER INC as active in the national extract.
How should patients interpret LIFE EXTENSION AND WELLNESS CENTER INC's specialty?
The extract shows Internal Medicine Physician for LIFE EXTENSION AND WELLNESS CENTER INC. Clinical services aligned with this taxonomy classification.
Which community is linked to LIFE EXTENSION AND WELLNESS CENTER INC?
LIFE EXTENSION AND WELLNESS CENTER INC shows a connection to Dania Beach, Florida in registry-derived data.
Can I export LIFE EXTENSION AND WELLNESS CENTER INC's record?
You can download the official NPPES record; we summarize key fields for readability.

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