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

Lifeline Vascular Center of South Orlando, LLC

Organization Nephrology Physician · NPI 1053668228

Lifeline Vascular Center of South Orlando, LLC is a Nephrology Physician in Orlando, Florida. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1511 Sligh Blvd Ste A
Orlando, FL 32806-3959
Phone: (847) 949-3845
Fax: (866) 408-5072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Vascular Surgery Physician Taxonomy 2086S0129X

Record details

NPI number1053668228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Hilger — Chief Accounting Officer · (253) 280-9501
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012
Mailing address3 W Hawthorn Pkwy, Suite 410, Vernon Hills, IL 60061-1446

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