Organization · Type 2 NPI

Lifewell Medical PA

General Practice Physician · Port St. Joe, FL

NPI number 1134066756 Active

Practice location

220 9th St
Port St. Joe, FL 32456-1924

Call (845) 360-2552 Map

Mailing address

23 Robert Pitt Dr Ste 102A
Monsey, NY 10952-3470

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

10 other providers at this address

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About NPI 1134066756

Lifewell Medical PA's National Provider Identifier is 1134066756, issued on May 1, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Port St. Joe, FL. The record was last updated on May 1, 2026.