| Lifeline Health, Inc. | |
|
1311 N Federal Hwy # 1 Hollywood FL 33020-3631 | |
| (888) 202-6052 | |
| Not Available |
| Full Name | Lifeline Health, Inc. |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 1311 N Federal Hwy # 1, Hollywood, Florida |
| Authorized Official Name and Position | Gary Kogan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8882026052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Health, Inc. 1311 N Federal Hwy # 1 Hollywood FL 33020-3631 Ph: (888) 202-6052 | Lifeline Health, Inc. 1311 N Federal Hwy # 1 Hollywood FL 33020-3631 Ph: (888) 202-6052 |
| NPI Number | 1003535469 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 12/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003535469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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