Organization Active NPI

Life X Medical Center Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sarasota, FL
National Provider Identifier
1033723606
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LIFE X MEDICAL CENTER CORP
Practice address
2055 Wood St Ste 104
Sarasota, FL 34237-7928
Phone
(941) 330-1919
Fax
(941) 330-1949
NPI assigned
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Jose Alberto Munoz
Title
President
Phone
(786) 448-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2055 Wood St Ste 104
Sarasota, FL 34237-7928

Mailing address

2055 Wood St Ste 104
Sarasota, FL 34237-7928
Phone (941) 330-1919

National Provider Directory

National Provider Directory

Locations

7925 NW 12th St
Ste 117
Doral, FL 33126
Phone (786) 536-7901

7925 NW 12th St
Doral, FL 33126
Phone (786) 589-0435

2055 Wood St
Ste 104
Sarasota, FL 34237
Phone (941) 330-1919

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1033723606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST STE 104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377928",
            "telephone_number": "941-330-1919",
            "fax_number": "941-330-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WOOD ST STE 104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377928",
            "telephone_number": "941-330-1919",
            "fax_number": "941-330-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE X MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-448-4938"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.