Life Support Systems Inc

Primary specialty

Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X

License

HCC3742 Issued in FL

Legal business name

LIFE SUPPORT SYSTEMS INC

Practice address

2965 Roosevelt Blvd
Clearwater, FL 33760-1926

Phone

(800) 659-8151

Fax

(727) 531-9552

NPI assigned

Sep 8, 2005

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Richard Dean Edwards, PA

Title

Owner/Ceo

Phone

(800) 659-8151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael O'Neill Barry, M.D.

  • Cardiovascular Disease Physician
  • Clearwater, FL
  • NPI 1619026770
  NPD
• Julie Ann Edwards-Josephs, RN

  • Cardiovascular Specialist/Technologist
  • Clearwater, FL
  • NPI 1477062115

  Specialist/Technologist Cardiovascular

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1003800707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601926",
            "telephone_number": "800-659-8151",
            "fax_number": "727-531-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337601926",
            "telephone_number": "800-659-8151",
            "fax_number": "727-531-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "800-659-8151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "FL",
            "license": "HCC3742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark O. Licht, M. D.
• Lance Lieberman, MD
• Moriah Lieberman
• Life Changes Holistic Psychotherapyllc
• Life Family Chiropractic of Clearwater LLC
• Life's Motion Physiotherapy, PLLC
• Lifeforce Health Group, LLC
• Lifespan Counseling Services LLC (Lifespan Counseling)
• Lifespring Therapy, PLLC
• Lifeworks Wellness Center, LLC

• Cardiovascular Specialist/Technologist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Cardiovascular Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.