Organization

Lifeline Health, Inc.

Health Service Clinic/Center in Hollywood, FL(View on Map)

Legal Business Name

Lifeline Health, Inc.

NPI Number

1003535469

NPI Type

Organization

Enumeration Date

08/26/2022

Specialties

(Taxonomies)

Code

261QH0100X
261Q00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

1311 N FEDERAL HWY # 1
1311 N FEDERAL HWY # 1

City

Hollywood
Hollywood

State

FL
FL

Postal Code

33020-3631
33020-3631

Country

US
US

Telephone Number

(888) 202-6052
(888) 202-6052

Authorized Official

Name

Gary Kogan

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(888) 202-6052

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

admin@lifelinehealthfl.org

Endpoint Description

Secured Site

Use

Direct

Content Type

CSV

Affiliation

N

Endpoint Location

1311 N Federal Hwy # 1Hollywood, FL330203631US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/14/2022

Provider Address

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