Organization Active NPI

Life Family Practice Center

  • Internal Medicine Physician
  • The Villages, FL
National Provider Identifier
1063496248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIFE FAMILY PRACTICE CENTER
Practice address
1501 N US Highway 441
1702
The Villages, FL 32159-8999
Phone
(352) 750-4333
Fax
(352) 750-2034
NPI assigned
Dec 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dan Arsenijevith
Title
Business Administrator
Phone
(352) 750-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1501 N US Highway 441
1702
The Villages, FL 32159-8999

Mailing address

1501 N US Highway 441
1702
The Villages, FL 32159-8999
Phone (352) 750-4333

National Provider Directory

National Provider Directory

Locations

1731 SW 2nd Ave
Ocala, FL 34471
Phone (352) 369-0322

1501 N US Highway 441
Ste 1702
The Villages, FL 32159
Phone (352) 750-4333

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063496248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441",
            "address_2": "1702",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598999",
            "telephone_number": "352-750-4333",
            "fax_number": "352-750-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N US HIGHWAY 441",
            "address_2": "1702",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598999",
            "telephone_number": "352-750-4333",
            "fax_number": "352-750-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FAMILY PRACTICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARSENIJEVITH",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "352-750-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.