Lifeworks Wellness Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIFEWORKS WELLNESS CENTER, LLC

Practice address

301 Turner St
Clearwater, FL 33756-5326

Phone

(727) 466-6789

Fax

(727) 451-1010

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David I MinkoffNPI 1558427344

Title

President

Phone

(727) 466-6789

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David I Minkoff, MD

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1558427344
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1033228648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 TURNER ST.",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565326",
            "telephone_number": "727-466-6789",
            "fax_number": "727-451-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 TURNER ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565326",
            "telephone_number": "727-466-6789",
            "fax_number": "727-451-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "MINKOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-466-6789",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "33369",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Support Systems Inc
• Life'S Motion Physiotherapy, PLLC
• Lifeforce Health Group, LLC
• Lifespan Counseling Services LLC
• Lifespring Therapy, PLLC
• Mark Ligad, CRNA
• Timothy Lee Light, D.O.
• Fabjola Lika
• Fabiola Likaj
• Natali E Lilburn, MD

• Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.