Life Extension Clinics, Inc
Life Extension Clinics, Inc is a General Practice Registered Nurse in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.
- Licensed in
- FL
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1011 N Macdill AveTampa, FL 33607-5126
Phone: (813) 876-0625
Fax: (813) 876-0653
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Registered Nurse (primary) | Taxonomy 163WG0000X · Licence RN1456802 (FL) |
|---|
Record details
| NPI number | 1376869073 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Patricia Johnson — Ceo · (813) 876-0625 |
| Other names | Life Scan Wellness Centers |
| NPI enumerated | April 20, 2010 |
| Last updated in NPPES | April 20, 2010 |
| Mailing address | 1011 N Macdill Ave, Tampa, FL 33607-5126 |
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