Organization · Type 2 NPI

Lifetime Medical Care PA

Primary Care Clinic/Center · Orange Park, FL

NPI number 1790793016 Active

Practice location

2300 Park Ave, Suite 203
Orange Park, FL 32073-5571

Call (904) 278-0016 Map

Fax (904) 278-4217

Mailing address

5000 US Highway 17, Suite 18-302
Orange Park, FL 32003-8231

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XME81222 (FL)

Primary Care Clinic/Center: Definition to come...

11 other providers at this address

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About NPI 1790793016

Lifetime Medical Care PA's National Provider Identifier is 1790793016, issued on Aug 3, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Orange Park, FL. The record was last updated on Nov 6, 2008.