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

Lifemd Southern Patient Medical Care PC

Organization Allergy & Immunology Physician · NPI 1417635921

Lifemd Southern Patient Medical Care PC is an Allergy & Immunology Physician in Orlando, Florida. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone: (646) 263-3680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3455 Peachtree Rd Ne Fl 5, Atlanta, GA 30326-3254 — (800) 852-1575

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Allergy & Immunology Physician Taxonomy 207K00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1417635921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Yecies — Cco · (800) 852-1575
NPI enumeratedJuly 6, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address236 5th Ave Ste 400, New York, NY 10001-7606

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