Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Extension and Wellness Center Inc

Organization Internal Medicine Physician · NPI 1386912079

Life Extension and Wellness Center Inc is an Internal Medicine Physician in Dania Beach, Florida. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1418 S Federal Hwy
Dania Beach, FL 33004-4349
Phone: (954) 921-9555
Fax: (954) 921-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1386912079
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Burke — McC · (954) 921-9555
NPI enumeratedDecember 8, 2011
Last updated in NPPESNovember 21, 2016
Mailing address1418 S Federal Hwy, Dania Beach, FL 33004-4349

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