LIFETIME MEDICAL CARE PA


Address: 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571
Phone: 9042780016

LIFETIME MEDICAL CARE PA (NPI# 1790793016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790793016
Entity Type Organization
Organization Name LIFETIME MEDICAL CARE PA
Practice Address 2300 Park Ave
Suite 203
Orange Park
FL 32073-5571
Mailing Address 5000 Us Highway 17
Suite 18-302
Orange Park
FL 32003-8231
Practice Telephone 9042780016
Practice Fax Number 9042784217
Mailing Telephone 9042780016
Mailing Fax Number 9042784217
Enumeration Date 2006-08-03
Last Update Date 2008-11-06
Authorized Official Name NIDAL EL RIMAWI (PRESIDENT)
Authorized Official Telephone 9042780016
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
ME81222 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUE CROSS BLUE SHIELD 01528 01
FL CIGNA 6965204 01
FL AETNA 7388361 01

Office Location

Street Address 2300 PARK AVE
SUITE 203
City ORANGE PARK
State FL
Zip Code 32073-5571

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194728303 Paul A Bednarzyk Internal Medicine 2300 Park Ave, Suite 101-b, Orange Park, FL 32073-5572 2005-05-23
1538526157 Tiffany Reshae Florence Nurse Practitioner 2300 Park Ave, Orange Park, FL 32073-5571 2016-01-27
1902261316 Se Orthopedic Specialists Non-Pharmacy Dispensing Site 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 2015-12-30
1568852739 Jason M Fetty Physical Therapist 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 2015-01-27
1730500489 Southeast Orthopedic Specialists, Inc. Specialist 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 2013-12-26
1023445004 Nedzad Cavka Physical Therapist 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 2013-10-04
1104163138 Krystal Jane Newbern Physical Therapist 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 2013-01-10
1235489287 Mark A Arrigenna Physician Assistant 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 2012-09-18
1841578556 The Smart Group, LLC Pharmacy 2300 Park Ave, Suite 100, Orange Park, FL 32073-5571 2011-07-29
1912136292 Housecall Home Health, L.L.C. Home Health 2300 Park Ave, Suite 102, Orange Park, FL 32073-5571 2009-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205441615 Washington Hills Primary Care Clinic/Center 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 2020-09-11
1124050711 Meadowlands Medical Center,pa Clinic/Center 179 College Dr, Ste 17, Orange Park, FL 32065-7705 2006-07-06
1942481429 Family First Primary Care Pa Clinic/Center 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3624 2007-11-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174122337 Life Line Medical Group Inc Clinic/Center 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 2020-10-20
1558977926 Ohi West Medical Group, LLC Clinic/Center 603 7th St S Ste 350, St Petersburg, FL 33701-4732 2020-09-21
1699380329 Premier Health System LLC Clinic/Center 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 2020-09-10
1093328163 Sunmed Group LLC Clinic/Center 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 2020-08-28
1790398246 Emc 360, LLC Clinic/Center 1008 Juliette Blvd, Mount Dora, FL 32757-6500 2020-08-25
1720690704 Celena Vinent Carbonell M.d., P.a. Clinic/Center 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 2020-08-20
1548871866 1st Call Primary Care, LLC Clinic/Center 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 2020-08-11
1912517152 Curos Inc Clinic/Center 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 2020-08-03
1104436492 Caretinuum Health Clinic/Center 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 2020-08-03
1023628351 Ase Telehealth Inc Clinic/Center 5851 Timuquana Rd Ste 104, Jacksonville, FL 32210-7890 2020-08-02
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Competitor

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City ORANGE PARK
Zip Code 32073

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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